Embolden Clinical Services in Wheaton - Psychologist
Embolden Clinical Services - NPI 1467643791
Embolden Clinical Services is a Psychologist in Wheaton, Illinois. Embolden Clinical Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Embolden Clinical Services is 1467643791. The last update date is 2007-08-01.
Embolden Clinical Services's current location address is 1755 S Naperville Rd, Wheaton, Illinois. You can contact this provider via phone number 6305103248. The mailing address for Embolden Clinical Services is 1755 S Naperville Rd, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Embolden Clinical Services |
|---|---|
| Address | 1755 S Naperville Rd, Wheaton, Illinois |
| Phone Number | 6305103248 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bowling Randall Dennis |
| Credentials | H.D. |
| Telephone Number | 6305103248 |
NPI Number Detail
| NPI Number | 1467643791 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 1755 S Naperville Rd |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601878144 |
| Phone Number | 6305103248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043857 | CIGNA | ||
| 206272 | MANAGED HEALTH NETWORK | ||
| 2220198 | BLUE CROSS BLUE SHIELD | ||
| 144300 | COMPSYCHE | ||
| 5777746 | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Embolden Clinical Services by the Centers for Medicare & Medicaid Services (CMS)?
The Embolden Clinical Services has been assigned the NPI (National Provider Identifier) 1467643791. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Embolden Clinical Services is physically located?
The Embolden Clinical Services is situated at the following address: 1755 S Naperville Rd, Wheaton, IL 601878144.
What is Embolden Clinical Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Embolden Clinical Services is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Embolden Clinical Services receive its 1467643791 assignment from the Centers for Medicare & Medicaid Services?
The Embolden Clinical Services was assigned its 1467643791 by the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date was the information pertaining to Embolden Clinical Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Embolden Clinical Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-01.
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