Occupational Clinical Psychologists

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OCCUPATIONAL CLINICAL PSYCHOLOGISTS

Practice address

400 Linden Ave
Wilmette, IL 60091-3606

Phone

(847) 256-6440

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas P. Lavin, PH.D.

Title

Clinical Psychologist

Phone

(847) 256-6440

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.

• Mary Ellen Lavin, PH. D.

  • Professional Counselor
  • Wilmette, IL
  • NPI 1245246073
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982711651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913606",
            "telephone_number": "847-256-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913606",
            "telephone_number": "847-256-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL CLINICAL PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-256-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Physicians Group, LLC
• Gary James Novak, M.D.
• Jaimee Lea Novak, M.S., L.C.P.C.
• Susan B. O'Connell, LCPC
• Brent Stuart O'Connor, M.D.
• Martin H Okner, RPH
• Clyde H Ono, D.D.S.
• Open Horizons Counseling PLLC
• Orion Therapy Group LLC
• Carole Ann Oser, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.