IPSATIVE PSYCHOLOGY PLLC NPI 1376303644

NPI Information

  • NPI: 1376303644
  • Provider Name: IPSATIVE PSYCHOLOGY, PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2501 CHATHAM RD # 5212
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (312) 463-9299

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NPI Details

IPSATIVE PSYCHOLOGY, PLLC is an adult mental health clinic center in Springfield, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. IPSATIVE PSYCHOLOGY, PLLC NPI is 1376303644. The provider is registered as an organization entity type.

The provider's business location address is:

2501 CHATHAM RD # 5212
SPRINGFIELD, IL
ZIP 62704-188
Phone: (312) 463-9299

The provider's authorized official is Erica Goodman .
The authorized official title is Owner and has the following contact phone number (312) 463-9299.

The enumeration date for this NPI number is 3/21/2024 and was last updated on 3/21/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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