Psycynergy Psychological Services Pc

LBN: Psycynergy Psychological Services Pc
Psycynergy Psychological Services Pc is an health care organization with primary practice located at 369 E Sibley Blvd Suite A, Harvey IL 60426-2530. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Psycynergy Psychological Services Pc can be contacted via phone (888) 205-5532, or through Weems, Jerry L via phone (773) 671-0466.

Contact Information

Primary practice address
369 E Sibley Blvd Suite A Harvey IL 60426-2530
Phone: (888) 205-5532
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weems, Jerry L PSY.D.
Phone: (773) 671-0466

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180004026 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180004026 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 071006437 Illinois
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 071006437 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006437 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071006437 Illinois
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071006437 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 180004026 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 14013 Illinois

Profile Details

NPI number 1093075301
LBN Legal business name Psycynergy Psychological Services Pc
DBA Doing business as
Authorized official Weems, Jerry L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2012
Last updated May 9th, 2017 - about 8 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 1093075301 NPPES
Illinois MEDICAID 14013

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