MIRKA IVANOVIC PSYD
NPI 1740475599
Psychologist - Clinical in Evanston, IL

Active since September 13, 2007
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201(847) 864-0600 Get Directions Write a Review

NPPES record last updated: May 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirka Ivanovic Psyd NPPES

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

MIRKA IVANOVIC PSYD (NPI 1740475599) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071.008491) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1740475599
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMIRKA IVANOVICCredential: PSYD
Location Address636 CHURCH ST, SUITE 510Evanston, IL 60201-4508
Mailing Address636 Church St, Suite 510Evanston, IL 60201-4508 · (847) 864-0600
Sole ProprietorNo
Enumeration DateSeptember 13, 2007
Last NPPES UpdateMay 2, 2015
NPI 1740475599 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 · 071.008491
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.
636 CHURCH ST, Evanston, IL 60201

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.

Psychologist (Clinical)
636 CHURCH ST, SUITE #421
EVANSTON, IL 60201
Counselor (Professional)
636 CHURCH ST
EVANSTON, IL 60201
Dentist
636 CHURCH ST, #721
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST, #508
EVANSTON, IL 60201
Marriage & Family Therapist
636 CHURCH ST, SUITE 601
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 416
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201
Counselor (Mental Health)
636 CHURCH ST, SUITE 409
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 Mirka Ivanovic's NPI number?

The NPI number for Mirka Ivanovic is 1740475599. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Mirka Ivanovic located?

Mirka Ivanovic practices at 636 Church St Suite 510, Evanston, IL 60201. The listed phone number is (847) 864-0600.

What is Mirka Ivanovic'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 Mirka Ivanovic was last updated on May 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.