Midamerican Psychological Institute Pc in Joliet - Clinical
Midamerican Psychological Institute Pc - NPI 1366558553
Midamerican Psychological Institute Pc is a Clinical in Joliet, Illinois. Midamerican Psychological Institute Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Midamerican Psychological Institute Pc is 1366558553. The last update date is 2012-11-28.
Midamerican Psychological Institute Pc's current location address is 1415 Maple Rd, Joliet, Illinois. You can contact this provider via phone number 8157350732 and fax number 8157227310. The mailing address for Midamerican Psychological Institute Pc is 1415 Maple Rd, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midamerican Psychological Institute Pc |
|---|---|
| Address | 1415 Maple Rd, Joliet, Illinois |
| Phone Number | 8157350732 |
| Fax Number | 8157227310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moran J Daniel |
| Credentials | PHD BCBA |
| Telephone Number | 8157350732 |
NPI Number Detail
| NPI Number | 1366558553 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2012-11-28 |
Provider Mailing Address Detail
| Address | 1415 Maple Rd |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604321442 |
| Phone Number | 8157350732 |
| Fax Number | 8157227310 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006470 |
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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 |
|---|---|---|---|
| 9932152 | IL | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Midamerican Psychological Institute Pc by the Centers for Medicare & Medicaid Services?
The Midamerican Psychological Institute Pc has been assigned the NPI (National Provider Identifier) 1366558553 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Midamerican Psychological Institute Pc?
The Midamerican Psychological Institute Pc is situated at 1415 Maple Rd, in the city of Joliet, state of IL, with the zip code 604321442.
What is the Midamerican Psychological Institute Pc's area of specialization and corresponding taxonomy classification?
The Midamerican Psychological Institute Pc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Midamerican Psychological Institute Pc receive its 1366558553 assignment from the Centers for Medicare & Medicaid Services?
The Midamerican Psychological Institute Pc was assigned its 1366558553 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information regarding Midamerican Psychological Institute Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Midamerican Psychological Institute Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-11-28.