Springfield Ctr Psychological Svs

LBN: Springfield Ctr Psychological Svs
Springfield Ctr Psychological Svs is an health care organization with primary practice located at 1201 S Veterans Pkwy Suite B, Springfield IL 62704-6321. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Springfield Ctr Psychological Svs can be contacted via phone (217) 793-2770, or through Jackson, Robert Leon via phone (217) 793-2770.

Contact Information

Primary practice address
1201 S Veterans Pkwy Suite B Springfield IL 62704-6321
Fax: (217) 793-2887
Website:
Authorized official contact:
Name: Jackson, Robert Leon PHD

Health care specialties

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

Profile Details

NPI number 1730231135
LBN Legal business name Springfield Ctr Psychological Svs
DBA Doing business as
Authorized official Jackson, Robert Leon PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Popular Providers