Preventative Mental Healthcare Services in Downers Grove - Clinical
Preventative Mental Healthcare Services - NPI 1407984131
Preventative Mental Healthcare Services is a Clinical in Downers Grove, Illinois. Preventative Mental Healthcare Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Preventative Mental Healthcare Services is 1407984131. The last update date is 2014-12-02.
Preventative Mental Healthcare Services's current location address is 1001 Ogden Ave, Downers Grove, Illinois. You can contact this provider via phone number 6309681181 and fax number 6303229977. The mailing address for Preventative Mental Healthcare Services is 1001 Ogden Ave, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Preventative Mental Healthcare Services |
|---|---|
| Address | 1001 Ogden Ave, Downers Grove, Illinois |
| Phone Number | 6309681181 |
| Fax Number | 6303229977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Angelillo S Joseph |
| Telephone Number | 6309681181 |
NPI Number Detail
| NPI Number | 1407984131 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2014-12-02 |
Provider Mailing Address Detail
| Address | 1001 Ogden Ave |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605152865 |
| Phone Number | 6309681181 |
| Fax Number | 6303229977 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: 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 |
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What is the unique 10-digit identification code issued to Preventative Mental Healthcare Services by the Centers for Medicare & Medicaid Services?
The Preventative Mental Healthcare Services has been assigned the NPI (National Provider Identifier) 1407984131 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 Preventative Mental Healthcare Services?
The Preventative Mental Healthcare Services is situated at 1001 Ogden Ave, in the city of Downers Grove, state of IL, with the zip code 605152865.
What is Preventative Mental Healthcare Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Preventative Mental Healthcare Services is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407984131 to Preventative Mental Healthcare Services?
The Preventative Mental Healthcare Services received its 1407984131 assignment from the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date were the Preventative Mental Healthcare Services's details last updated?
The information pertaining to the Preventative Mental Healthcare Services, including its address, specialty, and other details, was most recently updated on 2014-12-02.
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