Mary Pachan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008567 Issued in IL

Practice address

3317 W Le Moyne St
Chicago, IL 60651-2452

Phone

(312) 342-2894

NPI assigned

May 4, 2010

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindner Center of Hope Professional Associates

  • Psychologist
  • Mason, OH
  • NPI 1124425020

  Clinical

  Medicare reassignment NPD
• The Craig and Frances Lindner Center of Hope

  dba Lindner Center of HOPE

  • Psychiatric Hospital
  • Mason, OH
  • NPI 1023207750
  Medicare reassignment NPD
• M Pachan PHD PLLC

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1124699038
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1518285394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512452",
            "telephone_number": "312-342-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512452",
            "telephone_number": "312-342-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHAN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Pace, MD
• Deanna Pacelli
• Gregory Joseph Pacelli, M.D., PH.D.
• Lauri Pacelli, RPH
• Caroline Pach, FNP-C
• Pacheco Optimum Health LLC (Bloom Diagnostics)
• Pacheco Optimum Health LLC
• Pacheco Optimum Health LLC
• Consuelo Pacheco Villablanca, PT
• Valentina Marie Pacheco-Cornejo, PSY.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.