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PSYCHIATRIC SERVICES OF SOUTHERN ILLINOIS LLC NPI 1689991291


NPI Information

NPI: 1689991291
Provider Name: PSYCHIATRIC SERVICES OF SOUTHERN ILLINOIS, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2900 FRANK SCOTT PKWY W
SUITE 990
BELLEVILLE, IL
ZIP 62223
Phone: (618) 236-6501
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PSYCHIATRIC SERVICES OF SOUTHERN ILLINOIS, LLC is a psychiatry psychiatry neurology in Belleville, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PSYCHIATRIC SERVICES OF SOUTHERN ILLINOIS, LLC NPI is 1689991291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 FRANK SCOTT PKWY W
SUITE 990
BELLEVILLE, IL
ZIP 62223-000
Phone: (618) 236-6501
Fax: (618) 236-6551

The provider's authorized official is Jeffrey S Chalfant .
The authorized official title is Psychiatrist and has the following contact phone number (618) 236-6501.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 8/5/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K25958OTHERILLINOISMEDICARE ID
2H49780MEDICARE UPINILLINOIS

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: 11/14/2023

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