Karis Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KARIS PSYCHOLOGICAL SERVICES, LLC

Practice address

708 Florsheim Dr
#13
Libertyville, IL 60048-5001

Phone

(847) 561-2397

NPI assigned

Dec 6, 2010

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marylou Nallen, PSY.D.NPI 1205936952

Title

Member

Phone

(847) 561-2397

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marylou Nallen, PSYD.

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1205936952
  NPD (past) Authorized official

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1942503404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 FLORSHEIM DR STE 13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485001",
            "telephone_number": "847-561-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 FLORSHEIM DR",
            "address_2": "#13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485001",
            "telephone_number": "847-561-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "NALLEN",
        "authorized_official_first_name": "MARYLOU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-561-2397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kamman, PT, DPT
• Patricia Ann Kampmeier, M.D.
• Meriam Kanikunnel, PA-C
• Karen J Counseling, LLC
• Karen Woodnorth, P.C.
• Randi Karlinsky, MS, LDN, RDN, CPT
• Karma7 Medical Supply LLC
• Clare J Kasemeier, LCSW
• Mary Grace Kashmar, CRNA
• Katy Robb Counseling, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.