Mirjam Quinn and Associates, LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007554 Issued in IL

Legal business name

MIRJAM QUINN AND ASSOCIATES, LTD

Practice address

10801 S Western Ave Ste 2B
Chicago, IL 60643-3225

Phone

(708) 586-7357

Fax

(773) 253-8410

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Mirjam Quinn, PH.D.NPI 1114092467

Title

Owner

Phone

(708) 586-7357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mirjam Quinn, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1114092467
  Medicare reassignment Care Compare group NPD Authorized official
• Lynette Hickey, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1689706749
  Medicare reassignment Care Compare group NPD
• Melissa Littlefield, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1740827914
  Medicare reassignment Care Compare group NPD
• Benjamin Walker, LSCW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1194183228
  Medicare reassignment Care Compare group NPD
• Deja Nicole Alexander, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1972308732
  NPD
• Valentin Berman, M.D.P.C.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1750428967
  NPD
• Tasia Buford-Howell

  • Counselor
  • Chicago, IL
  • NPI 1558003301
  NPD
• Margaret Grossnickle

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114512654
  NPD
• Andrea Jacobson

  • Social Worker
  • Chicago, IL
  • NPI 1639899628
  NPD
• Christine Miller

  • Social Worker
  • Chicago, IL
  • NPI 1578364865
  NPD
• Meghan Murray, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1336623859
  NPD
• Cathleen J O'Brien I, LPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1306693932
  NPD

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1730577685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 S WESTERN AVE STE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433225",
            "telephone_number": "708-586-7357",
            "fax_number": "773-253-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 S WESTERN AVE STE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433225",
            "telephone_number": "708-586-7357",
            "fax_number": "773-253-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRJAM QUINN AND ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MIRJAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-586-7357",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naheed Mirebrahimi
• Edmund Vincent Mirecki, RPH
• Raquel Renee Mireles, RD, LDN
• Yael Mirelman, PT
• Moneer Miri
• Sean M Mirk, PHARM.D.
• Elizabeth Mirkin, M.D.
• Evgeni Mirkin, MD
• Dijana Mirkovic, DPM
• Alex Mirman

• 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.