Bernard Raden is a Clinical in Evanston, Illinois. Bernard Raden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bernard Raden is 1184847600. The last update date is 2007-07-08.
Bernard Raden's current location address is 1023 Maple, Evanston, Illinois. You can contact this provider via phone number 8478642728 and fax number 8478642728. The mailing address for Bernard Raden is 1023 Maple, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard Raden |
|---|---|
| Address | 1023 Maple, Evanston, Illinois |
| Phone Number | 8478642728 |
| Fax Number | 8478642728 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1184847600 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1023 Maple |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 60202 |
| Phone Number | 8478642728 |
| Fax Number | 8478642728 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 721571 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 069945X05850151 | IL | SMED SUPP PLANT | |
| 69945 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Bernard Raden by the Centers for Medicare & Medicaid Services?
The Bernard Raden has been issued the NPI (National Provider Identifier) 1184847600. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bernard Raden is located?
The Bernard Raden is situated at the following address: 1023 Maple, Evanston, IL, 60202.
What is Bernard Raden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bernard Raden's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Bernard Raden receive the assignment of its 1184847600 from the Centers for Medicare & Medicaid Services?
The Bernard Raden was issued its 1184847600 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information pertaining to Bernard Raden most recently updated or revised?
The details related to Bernard Raden, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT