MAHER PSYCHIATRIC GROUP LTD. NPI 1700048568

NPI Information

NPI: 1700048568
Provider Name: MAHER PSYCHIATRIC GROUP, LTD.

Former Legal Business Name: MAHER PSYCHIATRIC GROUP,LTD.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3000 PROFESSIONAL DR
SUITE A
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 793-9593
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MAHER PSYCHIATRIC GROUP, LTD. is a mental health counselor in Springfield, IL. MAHER PSYCHIATRIC GROUP, LTD. NPI is 1700048568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Maher Psychiatric Group,ltd..

The provider's business location address is:

3000 PROFESSIONAL DR
SUITE A
SPRINGFIELD, IL
ZIP 62703-931
Phone: (217) 793-9593
Fax: (217) 793-6949

The provider's authorized official is Chauncey C Maher .
The authorized official title is President Of Corp and has the following contact phone number (217) 793-9593.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 12/17/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	369851	MEDICARE UPIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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