Provider Type Icon

WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES PC NPI 1104250067


NPI Information

NPI: 1104250067
Provider Name: WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1256 WATERFORD DR
SUITE 140
AURORA, IL
ZIP 60504
Phone: (630) 898-5322
Get Directions

WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC is a clinical psychologist in Aurora, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC NPI is 1104250067. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1256 WATERFORD DR
SUITE 140
AURORA, IL
ZIP 60504-510
Phone: (630) 898-5322
Fax: (630) 898-5324

The provider's authorized official is Gary L Coleman .
The authorized official title is Clinical Psychologist and has the following contact phone number (630) 898-5322.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 12/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional180008137ILLINOISNo
2101YP2500XCounselorProfessional180007319ILLINOISNo
3103T00000XPsychologistNo
4103TC0700XPsychologistClinicalNo
51041C0700XSocial WorkerClinical149007223ILLINOISNo
61041C0700XSocial WorkerClinical149007369ILLINOISNo
7103TC0700XPsychologistClinical071006641ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.