SPRINGFIELD CTR PSYCHOLOGICAL SVS is a clinical psychologist in Springfield, 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. SPRINGFIELD CTR PSYCHOLOGICAL SVS NPI is 1730231135. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1201 S VETERANS PKWY SUITE B SPRINGFIELD, IL ZIP 62704-321 Phone: (217) 793-2770 Fax: (217) 793-2887
The provider's authorized official is Robert Leon Jackson . The authorized official title is Psychologist President and has the following contact phone number (217) 793-2770.
The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.
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:
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: 3/30/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
