DR JOSEPH WALLACH PHD LLC
NPI 1336415611
Psychologist - Clinical in Evanston, IL
NPI Status: Active since March 30, 2012
Contact Information
2530 CRAWFORD AVE
SUITE 304
EVANSTON, IL
ZIP 60201
Phone: (773) 852-2400
Fax: (847) 869-8116
- Organization
- Psychologist
- Clinical
About DR JOSEPH WALLACH PHD LLC
This page provides the complete NPI Profile along with additional information for Dr Joseph Wallach Phd Llc, a provider established in Evanston, Illinois operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1336415611 assigned on March 2012. The practitioner's primary taxonomy code is 103TC0700X with license number 071007942 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Joseph Wallach Ph.d. (Licensed Clinical Psychologist)
- NPI
- 1336415611
- Provider Name
- DR JOSEPH WALLACH PHD LLC
- Entity Type
- Organization
- Location Address
- 2530 CRAWFORD AVE SUITE 304 EVANSTON, IL 60201
- Location Phone
- (773) 852-2400
- Location Fax
- (847) 869-8116
- Mailing Address
- 2741 W GREENLEAF AVE CHICAGO, IL 60645
- Mailing Phone
- (773) 852-2400
- Mailing Fax
- (847) 869-8116
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2012
- Last Update Date
- 03-30-2012
- Code Navigator
A clinical psychologist like Dr Joseph Wallach Phd Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071007942
- License State
- IL
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | 071007942 (IL) |
| 2 | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | 071007942 (IL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 1 | 5 | 6 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 1 | 10 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 1 + 1 + 0 + 6 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1336415611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982698833 | DR. JON-PAUL CHAMPINE PSY.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 315 EVANSTON, IL 60201 (847) 869-4650 |
| 1891770640 | MS. JACQUELINE BERMAK LCSW Individual | Social Worker (Clinical) | 2530 CRAWFORD AVE SUITE 317 EVANSTON, IL 60201 (847) 864-9300 |
| 1962482471 | DR. PHILIP L OSBORNE LCPC Individual | Counselor (Mental Health) | 2530 CRAWFORD AVE SUITE 304 EVANSTON, IL 60201 (847) 424-9433 |
| 1801846936 | ROBYNE FRANKFORT-HOWARD PSY.D Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE EVANSTON, IL 60201 (847) 942-2006 |
| 1477560860 | BARBARA MORRIS STOCK PH.D. Individual | Psychologist | 2530 CRAWFORD AVE 301 EVANSTON, IL 60201 (847) 251-0288 |
| 1659389070 | DEBBIE SABIN L.C.S.W. Individual | Social Worker (Clinical) | 2530 CRAWFORD AVE SUITE 311 EVANSTON, IL 60201 (847) 778-7026 |
| 1033212295 | DR. DIANA BELIARD PH.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 308 EVANSTON, IL 60201 (847) 328-9566 |
| 1275628240 | DR. LORI BUCKENBERGER PHD Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 107 EVANSTON, IL 60201 (847) 287-3585 |
| 1134215627 | DR. KATHERINE SHEILA METRES PSY.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 115 EVANSTON, IL 60201 (847) 424-9110 |
| 1114000841 | DR. JAMES DALE MCHOLLAND PHD Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE EVANSTON, IL 60201 (847) 869-4650 |
| 1720151731 | MR. ROBERT A PEROTTI LCSW Individual | Social Worker (Clinical) | 2530 CRAWFORD AVE SUITE 304 EVANSTON, IL 60201 (847) 533-9521 |
| 1578623369 | DR. LUDA SMIKUN PSYD Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 118 EVANSTON, IL 60201 (847) 404-1384 |
| 1891850889 | DR. JUDITH FLAXMAN PH.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 118 EVANSTON, IL 60201 (847) 864-2723 |
| 1568515591 | DR. LINDA MATHIAS KASKEL PH.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 118 EVANSTON, IL 60201 (847) 864-2723 |
| 1689720419 | MRS. ALISA LEWIN WALDMAN LCSW Individual | Social Worker | 2530 CRAWFORD AVE SUITE 215 EVANSTON, IL 60201 (847) 328-2749 |
| 1619019080 | DR. VIRGINIA LYNN LAZARUS PSY.D Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 212 EVANSTON, IL 60201 (847) 604-1945 |
| 1306974134 | MRS. KATHERINE CRAVENS NEWMAN L.C.S.W. Individual | Social Worker (Clinical) | 2530 CRAWFORD AVE EVANSTON, IL 60201 (847) 492-8836 |
| 1891819363 | MS. KELLI KLINGER L.C.S.W. Individual | Social Worker (Clinical) | 2530 CRAWFORD AVE EVANSTON, IL 60201 (847) 869-4262 |
| 1295850329 | THOMAS ARTHUR ROSS M.S.W. Individual | Social Worker | 2530 CRAWFORD AVE SUITE 206 EVANSTON, IL 60201 (847) 424-0680 |
| 1821217100 | BETH JACOBS PH.D. Individual | Psychologist (Clinical) | 2530 CRAWFORD AVE SUITE 308 EVANSTON, IL 60201 (312) 787-4011 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336415611, enumerated in the NPI registry as an "organization" on March 30, 2012
The provider is located at 2530 Crawford Ave Suite 304 Evanston, Il 60201 and the phone number is (773) 852-2400
This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical
This NPI record was last updated on March 30, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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