DR. MARY LARSON PSY.D.
NPI 1114030574
Psychologist - Clinical in Evanston, IL

Active since August 17, 2006
1830 SHERMAN AVE, SUITE 304, EVANSTON, IL 60201(847) 866-6621(847) 864-0948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Larson Psy.d. NPPES

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

DR. MARY LARSON PSY.D. (NPI 1114030574) is an individual clinical provider in Evanston, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114030574
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY LARSONCredential: PSY.D.
Location Address1830 SHERMAN AVE, SUITE 304Evanston, IL 60201-3798
Mailing Address1830 Sherman Ave, Suite 304Evanston, IL 60201-3798 · (847) 866-6621 · Fax (847) 864-0948
Fax(847) 864-0948
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114030574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
1830 SHERMAN AVE, Evanston, IL 60201

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1830 SHERMAN AVE, SUITE 303
EVANSTON, IL 60201
Psychologist (Clinical)
1830 SHERMAN AVE, SUITE 204
EVANSTON, IL 60201
Counselor (Mental Health)
1830 SHERMAN AVE
EVANSTON, IL 60201
Community/Behavioral Health
1830 SHERMAN AVE, #406
EVANSTON, IL 60201
Counselor (Mental Health)
1830 SHERMAN AVE
EVANSTON, IL 60201
Social Worker
1830 SHERMAN AVE, SUITE #305
EVANSTON, IL 60201
Counselor (Professional)
1830 SHERMAN AVE, SUITE NUMBER 202
EVANSTON, IL 60201
Social Worker (Clinical)
1830 SHERMAN AVE, SUITE 201
EVANSTON, IL 60201

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 Larson's NPI number?

The NPI number for Mary Larson is 1114030574. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Mary Larson located?

Mary Larson practices at 1830 Sherman Ave Suite 304, Evanston, IL 60201. The listed phone number is (847) 866-6621.

What is Mary Larson'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 Larson 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.