DR. MARK A MOULTHROP (PH.D.) – Clinical Psychologist, NPI 1336294024

DR. MARK A MOULTHROP (PH.D.) is a healthcare provider. based in Evanston, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. The NPI Number for DR. MARK A MOULTHROP (PH.D.) is 1336294024

Main info

Male
Sole Proprietor
Name
DR. MARK A MOULTHROP (PH.D.)
NPI
1336294024
Phone
(847) 869-3702
Address
636 CHURCH ST
Enumeration Date
24 January 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for DR. MARK A MOULTHROP (PH.D.)

  • 636, Church Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    SUITE 407

    EVANSTON, IL 602014508

    Phone: (847) 869-3702

    Fax: (847) 869-8945

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 60201)

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Frequently asked questions

What federal number belongs to DR. MARK A MOULTHROP (PH.D.)?
The federal identifier for DR. MARK A MOULTHROP (PH.D.) is NPI 1336294024.
Does this profile mean DR. MARK A MOULTHROP (PH.D.) is currently active?
Yes — DR. MARK A MOULTHROP (PH.D.) appears active in the national provider directory.
What kind of provider is DR. MARK A MOULTHROP (PH.D.)?
The page reflects Clinical Psychologist for DR. MARK A MOULTHROP (PH.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK A MOULTHROP (PH.D.)?
The snapshot lists Evanston, Illinois for DR. MARK A MOULTHROP (PH.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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