YMG PSYCHOLOGICAL SERVICES PLLC NPI 1629787239

NPI Information

  • NPI: 1629787239
  • Provider Name: YMG PSYCHOLOGICAL SERVICES, PLLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 701 DEVONSHIRE DR. BLD. C SUITE 132
    CHAMPAIGN, IL
    ZIP 61820
  • Phone: (217) 278-0159

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NPI Details

YMG PSYCHOLOGICAL SERVICES, PLLC is a clinical psychologist in Champaign, 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. YMG PSYCHOLOGICAL SERVICES, PLLC NPI is 1629787239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 DEVONSHIRE DR. BLD. C SUITE 132
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 278-0159

The provider's authorized official is Dynesha D Mason Grissom .
The authorized official title is Owner/psychologist and has the following contact phone number (217) 278-0159.

The enumeration date for this NPI number is 11/22/2022 and was last updated on 11/22/2022.

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

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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