Center For Positive Change, P.C. in Grayslake - Family
Center For Positive Change, P.C. - NPI 1750457503
Center For Positive Change, P.C. is a Family in Grayslake, Illinois. Center For Positive Change, P.C. practices all healthcare services and medical treatments related to Family. The NPI Number for Center For Positive Change, P.C. is 1750457503. The last update date is 2015-05-08.
Center For Positive Change, P.C.'s current location address is 205 Commerce Dr, Grayslake, Illinois. You can contact this provider via phone number 8475290558. The mailing address for Center For Positive Change, P.C. is 205 Commerce Dr, Grayslake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Positive Change, P.C. |
|---|---|
| Address | 205 Commerce Dr, Grayslake, Illinois |
| Phone Number | 8475290558 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cole A Jon |
| Credentials | PH.D. |
| Telephone Number | 8475290558 |
NPI Number Detail
| NPI Number | 1750457503 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2015-05-08 |
Provider Mailing Address Detail
| Address | 205 Commerce Dr |
|---|---|
| City | Grayslake |
| State | Illinois (IL) |
| Post Code | 600301646 |
| Phone Number | 8475290558 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 294100-000 | MAGELLAN HEALTH SERVICES | ||
| 256988 | MANAGED HEALTH NETWORK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Center For Positive Change, P.C.?
The Center For Positive Change, P.C. has been issued the NPI (National Provider Identifier) 1750457503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Center For Positive Change, P.C. is located?
The Center For Positive Change, P.C. is situated at the following address: 205 Commerce Dr, Grayslake, IL, 600301646.
What is Center For Positive Change, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Center For Positive Change, P.C. is Family, and the taxonomy code that classifies this field of practice is 103Tf0000X.
On what date was the 1750457503 assigned to Center For Positive Change, P.C.?
The Center For Positive Change, P.C. was issued its 1750457503 on 2006-11-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Center For Positive Change, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Center For Positive Change, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-08.
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