PSYCHOLOGICAL HEALTH ASSOCIATES NPI 1003008178

Counselor (Mental Health) in St Charles, IL

About PSYCHOLOGICAL HEALTH ASSOCIATES

Psychological Health Associates is a provider in St Charles, IL. The NPI number assigned to this provider is 1003008178. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Psychological Health Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Health And Wellness Group.

NPI1003008178 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePSYCHOLOGICAL HEALTH ASSOCIATES
Provider Location Address303 N 2ND ST STE B ST CHARLES, IL 60174 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address303 N 2ND ST STE B ST CHARLES, IL 60174 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameHEALTH AND WELLNESS GROUP Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-13-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PSYCHOLOGICAL HEALTH ASSOCIATES
303 N 2ND ST STE B
ST CHARLES, IL
ZIP 60174
Phone: (630) 587-3311
Fax: (630) 587-3355
Get Directions

Mailing Address

PSYCHOLOGICAL HEALTH ASSOCIATES
303 N 2ND ST STE B
ST CHARLES, IL
ZIP 60174
Phone: (630) 587-3311
Fax: (630) 587-3355

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.060007700071003068
License StateIL

Authorized Official

Authorized Official NameDR. CHERRY D WEBER PH.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(630) 587-3311

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Map Location


PSYCHOLOGICAL HEALTH ASSOCIATES address is 303 N 2ND ST STE B ST CHARLES, IL 60174

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467524918DR. CHERRY DEE WEBER PH.D.
Individual
Psychologist (Clinical)303 N 2ND ST STE B
SAINT CHARLES, IL 60174
(630) 587-3311