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PREVENTATIVE MENTAL HEALTHCARE SERVICES NPI 1407984131


NPI Information

NPI: 1407984131
Provider Name: PREVENTATIVE MENTAL HEALTHCARE SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1001 OGDEN AVE
LL5
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 968-1181
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PREVENTATIVE MENTAL HEALTHCARE SERVICES is a clinical psychologist in Downers Grove, 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. PREVENTATIVE MENTAL HEALTHCARE SERVICES NPI is 1407984131. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1001 OGDEN AVE
LL5
DOWNERS GROVE, IL
ZIP 60515-865
Phone: (630) 968-1181
Fax: (630) 322-9977

The provider's authorized official is Joseph S Angelillo .
The authorized official title is Director and has the following contact phone number (630) 968-1181.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 12/2/2014.


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
1103TC0700XPsychologistClinicalYes

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
1620100MEDICARE 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: 5/5/2024

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