Psychology Center Inc

LBN: Psychology Center P.C.
Psychology Center Inc is an health care organization with primary practice located at 10343 S Western Avenue , Chicago IL 60643-2410. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Psychology Center P.C. can be contacted via phone (773) 238-2828, or through Davenport, James T via phone (708) 974-4274.

Contact Information

Primary practice address
10343 S Western Avenue Chicago IL 60643-2410
Phone: (773) 238-2828
Fax: (708) 974-3845
Website:
Map and Directions
Authorized official contact:
Name: Davenport, James T PSY D
Phone: (708) 974-4274

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 060005211 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071003666 Illinois

Profile Details

NPI number 1396735361
LBN Legal business name Psychology Center P.C.
DBA Doing business as Psychology Center Inc
Authorized official Davenport, James T PSY D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 28th, 2015 - about 9 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 1396735361 NPPES
Illinois MEDICAID 345365834001

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