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NEUROPSYCHOLOGICAL SERVICES PC NPI 1205882313


NPI Information

NPI: 1205882313
Provider Name: NEUROPSYCHOLOGICAL SERVICES PC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
3375 N ARLINGTON HEIGHTS RD
SUITE K
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 394-4174
Get Directions

NEUROPSYCHOLOGICAL SERVICES PC is a clinical neuropsychologist in Arlington Heights, IL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NEUROPSYCHOLOGICAL SERVICES PC NPI is 1205882313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3375 N ARLINGTON HEIGHTS RD
SUITE K
ARLINGTON HEIGHTS, IL
ZIP 60004-701
Phone: (847) 394-4174
Fax: (847) 394-4176

The provider's authorized official is Frederick Wilburn Bylsma .
The authorized official title is Owner, President and has the following contact phone number (847) 738-4528.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 3/9/2015.


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
1103TC0700XPsychologistClinicalNo
2103TA0700XPsychologistAdult Development & AgingNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC1900XPsychologistCounselingNo
6103TF0000XPsychologistFamilyNo
7103TF0200XPsychologistForensicNo
8103G00000XClinical NeuropsychologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1213761MEDICARE ID-TYPE UNSPECIFIEDILLINOISCOOK COUNTY
2213762MEDICARE ID-TYPE UNSPECIFIEDILLINOISOTHER IL COUNTIES

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

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