Springfield Ctr Psychological Svs in Springfield - Clinical
Springfield Ctr Psychological Svs - NPI 1730231135
Springfield Ctr Psychological Svs is a Clinical in Springfield, Illinois. Springfield Ctr Psychological Svs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Springfield Ctr Psychological Svs is 1730231135. The last update date is 2020-08-22.
Springfield Ctr Psychological Svs's current location address is 1201 S Veterans Pkwy, Springfield, Illinois. You can contact this provider via phone number 2177932770 and fax number 2177932887. The mailing address for Springfield Ctr Psychological Svs is 1201 S Veterans Pkwy, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springfield Ctr Psychological Svs |
|---|---|
| Address | 1201 S Veterans Pkwy, Springfield, Illinois |
| Phone Number | 2177932770 |
| Fax Number | 2177932887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Jackson Leon Robert |
| Credentials | PHD |
| Telephone Number | 2177932770 |
NPI Number Detail
| NPI Number | 1730231135 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1201 S Veterans Pkwy |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627046321 |
| Phone Number | 2177932770 |
| Fax Number | 2177932887 |
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 identifier code issued to Springfield Ctr Psychological Svs by the Centers for Medicare & Medicaid Services?
The Springfield Ctr Psychological Svs has been assigned the NPI (National Provider Identifier) 1730231135 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Springfield Ctr Psychological Svs is physically located?
The Springfield Ctr Psychological Svs is situated at the following address: 1201 S Veterans Pkwy, Springfield, IL 627046321.
What is the area of specialization for Springfield Ctr Psychological Svs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Springfield Ctr Psychological Svs is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Springfield Ctr Psychological Svs receive its 1730231135 assignment?
The Springfield Ctr Psychological Svs was assigned its 1730231135 on 2007-01-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Springfield Ctr Psychological Svs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Springfield Ctr Psychological Svs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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