Mary Mika, Psy.D. PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

MARY MIKA, PSY.D. PLLC

Practice address

720 Osterman Ave Ste 301
Deerfield, IL 60015-4339

Phone

(708) 433-9582

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mary Mika, PSY.D.NPI 1487970505

Title

Clinical Psychologist

Phone

(708) 433-9582

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Mika, LCPC

  • Professional Counselor
  • Palos Park, IL
  • NPI 1487970505
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1962010330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CLAIRE LN",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701667",
            "telephone_number": "708-433-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OSTERMAN AVE STE 301",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154339",
            "telephone_number": "708-433-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MIKA, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MIKA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-433-9582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Marsden-Johnson
• Jennifer Lynn Marsh, LCSW
• Janet Martig, PHARM.D.
• Evelyn Martinez
• Mary E Halpin PHD PC
• Kojiro Matsumoto, MD
• Kathryn Christina Matthews
• Michael D Matthews, OD
• Ronald Charles May, M.D.
• Douglas Aloysius Mazewski, PHARMD

• Clinical Child & Adolescent Psychologist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.