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Deactivated NPI 1275683245 Deactivated / Inactive NPI Female Practitioner

Dr. Barbara Jean Mann , PsyD

Psychologist - Clinical • Kankakee, IL

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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. Barbara Mann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2007
NPI Deactivation Date September 27, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Barbara Mann, PsyD was a registered Psychologist - Clinical practicing in Kankakee, IL. Throughout an active medical career spanning 16 years, Dr. Mann provided care at the practice location at 1905 W. COURT ST ENTRANCE A until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

1905 W. Court St Entrance A

Kankakee, IL 609013163

Telephone 8159332240
Fax 8159357261
Associated Practice Facility / Clinic
🏢 Oakside Corporation Facility NPI 1427118439

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Kankakee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Kankakee, IL (4140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071004043

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

8 Associated Practitioners
Felecia Thackrey , LCPC

Counselor - Professional

NPI 1053575928

Licensed Clinical Professional Counselor

Heather Spina , LCSW

Social Worker - Clinical

NPI 1154540128

Licensed Clinical Social Worker

Delores Ward , MSRN

Counselor - Mental Health

NPI 1316086275
Priscilla Lynch , MSRN

Counselor - Mental Health

NPI 1346389293
Antionette Blumenthal , LCPC, CRADC

Counselor - Addiction (Substance Use Disorder)

NPI 1386701126

Licensed Clinical Professional Counselor, CRADC

Julene Bowley-Vogen , LCSW

Social Worker - Clinical

NPI 1669595542

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 16, 2007

Registered at 1905 W. COURT ST ENTRANCE A, KANKAKEE, IL 609013163 (Tel: 8159332240)

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Updated Business Mailing Address October 16, 2007

Registered at 1905 W. COURT ST ENTRANCE A, KANKAKEE, IL 609013163 (Tel: 8159332240)

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Provider Name / Credentials Updated October 16, 2007

Recorded as BARBARA MANN, PSYD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Psychologist (License #071004043 in IL)

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Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275683245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: October 16, 2007
Deactivation Date: September 27, 2023

Mailing Address

1905 W. Court St Entrance A

Kankakee, IL 609013163

Phone: 8159332240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.