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1518068725 NPI number — BARRY COHN MARKELL PSYD

NPI Number: 1518068725
Health Care Provider/Practitioner: BARRY COHN MARKELL PSYD

Information about “1518068725” NPI (BARRY COHN MARKELL PSYD) exists in 1518068725 in HTML format HTML  |  1518068725 in plain Text format TXT  |  1518068725 in PDF (Portable Document Format) PDF  |  1518068725 in an XML format XML  formats.

NPI Number : 1518068725 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518068725",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARKELL",
    "FirstName": "BARRY",
    "MiddleName": "COHN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 397",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLAND PARK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-710-0404",
    "MailingAddressFaxNumber": "801-383-9813",
    "FirstLinePracticeLocationAddress": "1420 RENAISSANCE DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE 301-H",
    "PracticeLocationAddressCityName": "PARK RIDGEE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60068",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-710-0404",
    "PracticeLocationAddressFaxNumber": "801-383-9813",
    "EnumerationDate": "09/26/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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