Dr. Marlene Ruth Eisen , PhD
Psychologist - Clinical • Evanston, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marlene Eisen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Marlene Eisen, PhD was a registered Psychologist - Clinical practicing in Evanston, IL. Throughout an active medical career spanning 15 years, Dr. Eisen provided care at the practice location at 1604 CHICAGO AVE until profile deactivation on 2021-12-15.
Practice Location & Contact Primary Location
1604 Chicago Ave
Suite #3
Evanston, IL 602011411
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Clinical in Evanston, IL
Practicing in Evanston, IL (4140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC0700X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Counselor - Mental Health
Doctor of Philosophy (Ph.D.)
Clinical Neuropsychologist
Doctor of Philosophy (Ph.D.)
Counselor - Professional
MALCPC
Psychologist - Clinical
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 15, 2021
NPI status registered as active in NPPES database
Registered at 1604 CHICAGO AVE, SUITE #3, EVANSTON, IL 602011411 (Tel: 8473289590)
Registered at 1604 CHICAGO AVE, SUITE #3, EVANSTON, IL 602011411 (Tel: 8473289590)
Recorded as MARLENE EISEN, PHD
Psychologist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1604 Chicago Ave, Suite #3
Evanston, IL 602011411
Phone: 8473289590
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