DR. MARY PAT EITZEN PSY.D.
NPI 1114010113
Psychologist - Clinical in Evanston, IL

Q: What is Mary Pat Eitzen's NPI number?

The NPI number for Mary Pat Eitzen is 1114010113. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Mary Pat Eitzen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Pat Eitzen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2006

309 ASHLAND AVE, EVANSTON, IL 60202(847) 328-1219 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Pat Eitzen Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY PAT EITZEN PSY.D. (NPI 1114010113) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (71003837) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114010113

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY PAT EITZENCredential: PSY.D.

Location Address309 ASHLAND AVEEvanston, IL 60202-3205

Mailing Address309 Ashland AveEvanston, IL 60202-3205 · (847) 328-1219

Phone(847) 328-1219

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114010113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 71003837

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 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.

309 ASHLAND AVE, Evanston, IL 60202

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pat Eitzen's NPI number?

The NPI number for Mary Pat Eitzen is 1114010113. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mary Pat Eitzen located?

Mary Pat Eitzen practices at 309 Ashland Ave, Evanston, IL 60202. The listed phone number is (847) 328-1219.

What is Mary Pat Eitzen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Pat Eitzen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.