Proactive Behavioral Services, Inc. in Inverness - Clinical
Proactive Behavioral Services, Inc. - NPI 1043437049
Proactive Behavioral Services, Inc. is a Clinical in Inverness, Illinois. Proactive Behavioral Services, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Proactive Behavioral Services, Inc. is 1043437049. The last update date is 2011-05-06.
Proactive Behavioral Services, Inc.'s current location address is 1644 W. Colonial Pkwy., Inverness, Illinois. You can contact this provider via phone number 8477764500 and fax number 8477764724. The mailing address for Proactive Behavioral Services, Inc. is 1644 W. Colonial Pkwy., Inverness, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proactive Behavioral Services, Inc. |
|---|---|
| Address | 1644 W. Colonial Pkwy., Inverness, Illinois |
| Phone Number | 8477764500 |
| Fax Number | 8477764724 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Lendvay R. Todd |
| Credentials | PSYD |
| Telephone Number | 8477784500 |
NPI Number Detail
| NPI Number | 1043437049 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2011-05-06 |
Provider Mailing Address Detail
| Address | 1644 W. Colonial Pkwy. |
|---|---|
| City | Inverness |
| State | Illinois (IL) |
| Post Code | 600671207 |
| Phone Number | 8477764500 |
| Fax Number | 8477764724 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071--007171 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932629 | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Proactive Behavioral Services, Inc. by the Centers for Medicare & Medicaid Services?
The Proactive Behavioral Services, Inc. has been issued the NPI (National Provider Identifier) 1043437049 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Proactive Behavioral Services, Inc.?
The Proactive Behavioral Services, Inc. is situated at 1644 W. Colonial Pkwy., in the city of Inverness, state of IL, with the zip code 600671207.
What is Proactive Behavioral Services, Inc.'s area of expertise and its corresponding taxonomy classification?
The Proactive Behavioral Services, Inc.'s field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Proactive Behavioral Services, Inc.'s 1043437049 issued?
The Proactive Behavioral Services, Inc.'s 1043437049 was issued on 2007-04-19.
When was the Proactive Behavioral Services, Inc.'s information last updated?
The Proactive Behavioral Services, Inc.'s information was last updated on 2011-05-06.
NPI Number: 1982607784
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