Primary Care Psychology Assocaites, Llc

LBN: Pcpa Legacy, Llc
Primary Care Psychology Assocaites, Llc is an health care organization with primary practice located at 400 Skokie Blvd Ste 245 , Northbrook IL 60062-7932. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Pcpa Legacy, Llc can be contacted via phone (847) 630-1611, or through Kredow, Paul C via phone (847) 630-1611.

Contact Information

Primary practice address
400 Skokie Blvd Ste 245 Northbrook IL 60062-7932
Fax: (847) 446-4673
Website:
Authorized official contact:
Name: Kredow, Paul C PSYD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004395 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071-004395 Illinois

Profile Details

NPI number 1093030132
LBN Legal business name Pcpa Legacy, Llc
DBA Doing business as Primary Care Psychology Assocaites, Llc
Authorized official Kredow, Paul C PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2010
Last updated Sep 6th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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