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MARY MIKA PSY.D. PLLC NPI 1962010330


NPI Information

NPI: 1962010330
Provider Name: MARY MIKA, PSY.D. PLLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
720 OSTERMAN AVE STE 301
DEERFIELD, IL
ZIP 60015
Phone: (708) 433-9582
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MARY MIKA, PSY.D. PLLC is a clinical child and adolescent psychologist in Deerfield, IL. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. MARY MIKA, PSY.D. PLLC NPI is 1962010330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 OSTERMAN AVE STE 301
DEERFIELD, IL
ZIP 60015-339
Phone: (708) 433-9582

The provider's authorized official is Mary Mika .
The authorized official title is Clinical Psychologist and has the following contact phone number (708) 433-9582.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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