Mary Ann Wiermanski, MA BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

39667 N Warren Lane
Beach Park, IL 60083-3051

Phone

(847) 336-4823

Fax

(847) 249-9701

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Ann Burton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1841490182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39667 N WARREN LANE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600833051",
            "telephone_number": "847-336-4823",
            "fax_number": "847-249-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39667 N WARREN LANE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600833051",
            "telephone_number": "847-336-4823",
            "fax_number": "847-249-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERMANSKI",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MA BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BURTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elida Gricelda Trejo, FNP-BC
• Catherine Ann Valentine, LCPC
• Walgreen Co
• Walgreen Co.
• We Care Senior Caregiver Services, Inc.
• Tomi L. Yacker, BSN, NCTMB, LMT
• Zivalo LLC

• Psychologist in Beach Park, IL
• Providers in Beach Park, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.