DR JOSEPH WALLACH PHD LLC
NPI 1336415611
Psychologist - Clinical in Evanston, IL

Active since March 30, 2012
2530 CRAWFORD AVE, SUITE 304, EVANSTON, IL 60201(773) 852-2400(847) 869-8116 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr Joseph Wallach Phd Llc NPPES

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

DR JOSEPH WALLACH PHD LLC (NPI 1336415611) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since March 2012. The organization lists Joseph Wallach, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1336415611
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR JOSEPH WALLACH PHD LLC
Location Address2530 CRAWFORD AVE, SUITE 304Evanston, IL 60201-4970
Mailing Address2741 W Greenleaf AveChicago, IL 60645-3013 · (773) 852-2400 · Fax (847) 869-8116
Fax(847) 869-8116
Organization SubpartNo
Authorized OfficialJoseph WallachLicensed Clinical Psychologist · (773) 852-2400
Enumeration DateMarch 30, 2012
✔ NPI 1336415611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007942
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 ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 071007942 (IL)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 071007942 (IL)
2530 CRAWFORD AVE, Evanston, IL 60201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

Counselor (Mental Health)
2530 CRAWFORD AVE, SUITE 304
EVANSTON, IL 60201
Psychologist (Clinical)
2530 CRAWFORD AVE, SUITE 308
EVANSTON, IL 60201
Psychologist (Clinical)
2530 CRAWFORD AVE, SUITE 206
EVANSTON, IL 60201
Counselor (Professional)
2530 CRAWFORD AVE, SUITE 208
EVANSTON, IL 60201
Psychologist (Clinical)
2530 CRAWFORD AVE
EVANSTON, IL 60201
Psychologist (Clinical)
2530 CRAWFORD AVE, SUITE 115
EVANSTON, IL 60201
Counselor (Professional)
2530 CRAWFORD AVE, SUITE 114
EVANSTON, IL 60201
Social Worker (Clinical)
2530 CRAWFORD AVE, SUITE 219
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 Dr Joseph Wallach Phd LLC's NPI number?

The NPI number for Dr Joseph Wallach Phd LLC is 1336415611. It was assigned to this organization in the NPPES registry on March 30, 2012.

Where is Dr Joseph Wallach Phd LLC located?

Dr Joseph Wallach Phd LLC is located at 2530 Crawford Ave Suite 304, Evanston, IL 60201. The listed phone number is (773) 852-2400.

What is Dr Joseph Wallach Phd LLC'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 Dr Joseph Wallach Phd LLC was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.