Provider Type Icon

RENEE A MCARDLE PSY D & REV FRANK S MOYER P C NPI 1518258904


NPI Information

NPI: 1518258904
Provider Name: RENEE A MCARDLE PSY D & REV FRANK S MOYER P C
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4873 MANHATTAN DR
4873 MANHATTAN DRIVE
ROCKFORD, IL
ZIP 61108
Phone: (815) 509-6445
Get Directions

RENEE A MCARDLE PSY D & REV FRANK S MOYER P C 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. RENEE A MCARDLE PSY D & REV FRANK S MOYER P C NPI is 1518258904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4873 MANHATTAN DR
4873 MANHATTAN DRIVE
ROCKFORD, IL
ZIP 61108-265
Phone: (815) 509-6445
Fax: (815) 965-9574

The provider's authorized official is Renee A Mcardle .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (815) 965-1817.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 5/18/2011.


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
1103TC0700XPsychologistClinical071005330ILLINOISYes

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
1216550MEDICARE UPINILLINOIS

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.