PSYCYNERGY PSYCHOLOGICAL SERVICES NPI 1437515541

NPI Information

NPI: 1437515541
Provider Name: PSYCYNERGY PSYCHOLOGICAL SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
369 E SIBLEY BLVD
SUITE A
HARVEY, IL
ZIP 60426
Phone: (708) 566-4950
Get Directions

PSYCYNERGY PSYCHOLOGICAL SERVICES is a community based residential treatment facility mental illness in Harvey, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PSYCYNERGY PSYCHOLOGICAL SERVICES NPI is 1437515541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

369 E SIBLEY BLVD
SUITE A
HARVEY, IL
ZIP 60426-530
Phone: (708) 566-4950
Fax: (708) 566-4382

The provider's authorized official is Denise Smith .
The authorized official title is Executive Assistant and has the following contact phone number (708) 566-4950.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.

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	101Y00000X	Counselor		180004026	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180004026	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180004026	ILLINOIS	No
4	103T00000X	Psychologist		180004026	ILLINOIS	No
5	103TC0700X	Psychologist	Clinical			No
6	103TF0000X	Psychologist	Family	180004026	ILLINOIS	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		180004026	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	1403	MEDICAID	ILLINOIS
2	=========1	OTHER	ILLINOIS	NPI

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

NPI Synchronization or Removal

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