Psychological Services Of Central Illinois, P.C.

LBN: Psychological Services Of Central Illinois, P.C.
Psychological Services Of Central Illinois, P.C. is an health care organization with primary practice located at 2921 Greenbriar Dr Suite B-1, Springfield IL 62704-6425. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Psychological Services Of Central Illinois, P.C. can be contacted via phone (217) 546-3118, or through Dimond, Richard E. via phone (217) 546-3118.

Contact Information

Primary practice address
2921 Greenbriar Dr Suite B-1 Springfield IL 62704-6425
Phone: (217) 546-3118
Fax: (217) 546-3184
Website:
Map and Directions
Authorized official contact:
Name: Dimond, Richard E. PH.D.
Phone: (217) 546-3118

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1245281583
LBN Legal business name Psychological Services Of Central Illinois, P.C.
DBA Doing business as
Authorized official Dimond, Richard E. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Apr 20th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245281583 NPPES
Illinois Other 0008423762 HMO ILLINOIS
Illinois Other 0008423762 HMO ILLINOIS

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