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M.H.R.C. INC. NPI 1235243510


NPI Information

NPI: 1235243510
Provider Name: M.H.R.C. INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5668 EAST STATE STREET
#2500
ROCKFORD, IL
ZIP 61108
Phone: (815) 633-5985
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M.H.R.C. INC. is a clinical psychologist in Rockford, 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. M.H.R.C. INC. NPI is 1235243510. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5668 EAST STATE STREET
#2500
ROCKFORD, IL
ZIP 61108-108
Phone: (815) 633-5985
Fax: (815) 633-5927

The provider's authorized official is Martin J Fields .
The authorized official title is Psychiatrist and has the following contact phone number (815) 633-5985.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 3/13/2012.


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
1103TC0700XPsychologistClinical071006307ILLINOISNo
2103TC0700XPsychologistClinical036044184ILLINOISYes

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
1K18719MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
2K25884MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
3203051MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
4K21686MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
5K18306MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
6205651MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
7K27099MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
8204333MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
9260040265MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE

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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