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CENTER FOR PERSONAL GROWTH PLLC NPI 1831594407


NPI Information

NPI: 1831594407
Provider Name: CENTER FOR PERSONAL GROWTH, PLLC

Other Name: CENTER FOR PERSONAL GROWTH

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
640 E SAINT CHARLES RD STE 212
CAROL STREAM, IL
ZIP 60188
Phone: (630) 791-0118
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CENTER FOR PERSONAL GROWTH, PLLC is a clinical psychologist in Carol Stream, 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. CENTER FOR PERSONAL GROWTH, PLLC NPI is 1831594407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Center For Personal Growth.

The provider's business location address is:

640 E SAINT CHARLES RD STE 212
CAROL STREAM, IL
ZIP 60188-600
Phone: (630) 791-0118
Fax: (630) 708-7654

The provider's authorized official is Kiera E Liebich .
The authorized official title is Office Manager and has the following contact phone number (630) 791-0118.

The enumeration date for this NPI number is 10/25/2014 and was last updated on 2/24/2024.


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
1103TC2200XPsychologistClinical Child & Adolescent071.008385ILLINOISNo
2103TH0100XPsychologistHealth ServiceNo
3103TC0700XPsychologistClinical071.008385ILLINOISYes

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
1321707109001MEDICAIDILLINOIS

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: 5/5/2024

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.