Comprehensive Psychological Resource in Niles - Psychologist
Comprehensive Psychological Resource - NPI 1760680789
Comprehensive Psychological Resource is a Psychologist in Niles, Illinois. Comprehensive Psychological Resource practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Comprehensive Psychological Resource is 1760680789. The last update date is 2012-05-16.
Comprehensive Psychological Resource's current location address is 241 Golf Mill Ctr Ste 602, Niles, Illinois. You can contact this provider via phone number 8473900776 and fax number 8473907625. The mailing address for Comprehensive Psychological Resource is 241 Golf Mill Ctr Ste 602, Niles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Psychological Resource |
|---|---|
| Address | 241 Golf Mill Ctr Ste 602, Niles, Illinois |
| Phone Number | 8473900776 |
| Fax Number | 8473907625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rush Drake Suzette |
| Credentials | PSY'D |
| Telephone Number | 8473900776 |
NPI Number Detail
| NPI Number | 1760680789 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2012-05-16 |
Provider Mailing Address Detail
| Address | 241 Golf Mill Ctr Ste 602 |
|---|---|
| City | Niles |
| State | Illinois (IL) |
| Post Code | 607141215 |
| Phone Number | 8473900776 |
| Fax Number | 8473907625 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 071 004832 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Comprehensive Psychological Resource by the Centers for Medicare & Medicaid Services?
The Comprehensive Psychological Resource has been assigned the NPI (National Provider Identifier) 1760680789. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Comprehensive Psychological Resource is physically located?
The Comprehensive Psychological Resource is physically situated at the following address: 241 Golf Mill Ctr Ste 602, Niles, IL, 607141215.
What is Comprehensive Psychological Resource's specialized field of practice, and what is the corresponding taxonomy classification code?
The Comprehensive Psychological Resource's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date was the 1760680789 assigned to Comprehensive Psychological Resource?
The Comprehensive Psychological Resource was issued its 1760680789 on 2007-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Comprehensive Psychological Resource, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Comprehensive Psychological Resource, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-16.
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