PSYCYNERGY PSYCHOLOGICAL SERVICES PC
NPI 1093075301
Clinic/Center - Mental Health (Including Community Mental Health Center) in Harvey, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About PSYCYNERGY PSYCHOLOGICAL SERVICES PC
This page provides the complete NPI Profile along with additional information for Psycynergy Psychological Services Pc, a provider established in Harvey, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1093075301 assigned on May 2012. The practitioner's primary taxonomy code is 261QM0801X with license number 14013 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. Psycynergy Psychological Services Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jerry L Weems Psy.d. (President/ceo/senior Partner)
- NPI
- 1093075301 Verify this NPI
- Provider Name
- PSYCYNERGY PSYCHOLOGICAL SERVICES PC
- Entity Type
- Organization
- Location Address
- 369 E SIBLEY BLVD SUITE A HARVEY, IL 60426
- Location Phone
- (888) 205-5532
- Mailing Address
- 1337 S INDIANA PKWY CHICAGO, IL 60605
- Mailing Phone
- (773) 671-0466
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2012
- Last Update Date
- 05-09-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 14013
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 180004026 (IL) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180004026 (IL) |
| 3 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 071006437 (IL) |
| 4 | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | 071006437 (IL) |
| 5 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 071006437 (IL) |
| 6 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 071006437 (IL) |
| 7 | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | 071006437 (IL) |
| 8 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 180004026 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14013 | MEDICAID (05) | IL |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
HARVEY, IL 60426
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093075301, enumerated as an "organization" on May 21, 2012.
The provider is located at 369 E SIBLEY BLVD SUITE A HARVEY, IL 60426 and the phone number is (888) 205-5532.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
