DR. MARK A MOULTHROP PH.D.
NPI 1336294024
Psychologist - Clinical in Evanston, IL

Q: What is Mark Moulthrop's NPI number?

The NPI number for Mark Moulthrop is 1336294024. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Mark Moulthrop'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 Mark Moulthrop was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 January 24, 2007

636 CHURCH ST, SUITE 407, EVANSTON, IL 60201(847) 869-3702(847) 869-8945 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark A Moulthrop Ph.d. NPPES

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

DR. MARK A MOULTHROP PH.D. (NPI 1336294024) is an individual clinical provider in Evanston, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1336294024

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK A MOULTHROPCredential: PH.D.

Location Address636 CHURCH ST, SUITE 407Evanston, IL 60201-4508

Mailing Address636 Church St, Suite 407Evanston, IL 60201-4508 · (847) 869-3702 · Fax (847) 869-8945

Phone(847) 869-3702

Fax(847) 869-8945

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1336294024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

636 CHURCH ST, Evanston, IL 60201

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Other Providers at the Same Location NPPES 20

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

DR. SHEILA M. CULKIN PH.D.

Psychologist (Clinical)

636 CHURCH ST, SUITE #421
EVANSTON, IL 60201

Cook County (847) 328-3120

AMY OWEN

Counselor (Professional)

636 CHURCH ST
EVANSTON, IL 60201

Cook County (203) 693-4917

MR. JIMMY ROBERT DONG DDS

Dentist

636 CHURCH ST, #721
EVANSTON, IL 60201

Cook County (847) 475-6606

MS. BARBARA A. ENGLAND L.C.S.W

Social Worker (Clinical)

636 CHURCH ST, #508
EVANSTON, IL 60201

Cook County (847) 328-4860

LAURA SHAMORIAN GOSSIN MS, LMFT

Marriage & Family Therapist

636 CHURCH ST, SUITE 601
EVANSTON, IL 60201

Cook County (312) 344-3596

DR. NANCY L. JENSEN PHD

Psychologist (Clinical)

636 CHURCH ST, SUITE 416
EVANSTON, IL 60201

Cook County (847) 612-0598

DR. JESSICA I STRANG PSY.D.

Psychologist (Clinical)

636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201

Cook County (773) 983-5672

MRS. LOIS N. SILVERSTEIN LCSW

Counselor (Mental Health)

636 CHURCH ST, SUITE 409
EVANSTON, IL 60201

Cook County (847) 475-8342

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 Mark Moulthrop's NPI number?

The NPI number for Mark Moulthrop is 1336294024. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Mark Moulthrop located?

Mark Moulthrop practices at 636 Church St Suite 407, Evanston, IL 60201. The listed phone number is (847) 869-3702.

What is Mark Moulthrop'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 Mark Moulthrop was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.