Psychology Specialists Ltd in Bloomington - Counselor
Psychology Specialists Ltd - NPI 1053368605
Psychology Specialists Ltd is a Counselor in Bloomington, Illinois. Psychology Specialists Ltd practices all healthcare services and medical treatments related to Counselor. The NPI Number for Psychology Specialists Ltd is 1053368605. The last update date is 2022-09-26.
Psychology Specialists Ltd's current location address is 808 S Eldorado Rd Ste 102, Bloomington, Illinois. You can contact this provider via phone number 8884287890. The mailing address for Psychology Specialists Ltd is 808 S Eldorado Rd Ste 102, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychology Specialists Ltd |
|---|---|
| Address | 808 S Eldorado Rd Ste 102, Bloomington, Illinois |
| Phone Number | 8884287890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF OPER |
|---|---|
| Authorized Official Name | Russo Adam |
| Telephone Number | 8884287890 |
NPI Number Detail
| NPI Number | 1053368605 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2022-09-26 |
Provider Mailing Address Detail
| Address | 808 S Eldorado Rd Ste 102 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617046075 |
| Phone Number | 8884287890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 180-005747 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Psychology Specialists Ltd by the Centers for Medicare & Medicaid Services?
The Psychology Specialists Ltd has been assigned the NPI (National Provider Identifier) 1053368605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Psychology Specialists Ltd?
The Psychology Specialists Ltd is situated at 808 S Eldorado Rd Ste 102, in the city of Bloomington, state of IL, with the zip code 617046075.
What is Psychology Specialists Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Psychology Specialists Ltd is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did Psychology Specialists Ltd receive its 1053368605 assignment from the Centers for Medicare & Medicaid Services?
The Psychology Specialists Ltd was assigned its 1053368605 on 2006-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Psychology Specialists Ltd most recently updated?
The details pertaining to the Psychology Specialists Ltd, including its address, specialty, and other relevant information, were last refreshed on 2022-09-26.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH