WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
NPI 1104250067
Psychologist - Clinical in Aurora, IL

Q: What is Waterford Counseling And Psychological Services, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 28, 2013

1256 WATERFORD DR, SUITE 140, AURORA, IL 60504(630) 898-5322(630) 898-5324 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Mar 10, 2023 (2 updates tracked since 2023).

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About Waterford Counseling And Psychological Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC (NPI 1104250067) is a healthcare organization registered as a clinical in Aurora, Illinois and active in the NPI registry since August 2013. The organization maintains a secondary practice location in Oswego and lists Gary L Coleman, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104250067

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC

Location Address1256 WATERFORD DR, SUITE 140Aurora, IL 60504-4510

Mailing Address1256 Waterford Dr, Suite 140Aurora, IL 60504-4510 · (630) 898-5322 · Fax (630) 898-5324

Phone(630) 898-5322

Fax(630) 898-5324

Organization SubpartNo

Authorized OfficialGary L ColemanClinical Psychologist · (630) 898-5322

Enumeration DateAugust 28, 2013

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1104250067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071006641

Definition

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180008137 (IL), 180007319 (IL)

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149007223 (IL), 149007369 (IL)

1256 WATERFORD DR, Aurora, IL 60504

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Secondary Practice Location 1

Location 11022 Douglas RdOswego, IL 60543-5133 · Phone (630) 898-5322 · Fax (630) 636-6120

Group Practice 1

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EDITA AURELIA DANAIATA NP

Nurse Practitioner

1256 WATERFORD DR
AURORA, IL 60504

Dupage County (630) 499-2399

AMY L COLEMAN LCSW

Social Worker (Clinical)

1256 WATERFORD DR, SUITE 140
AURORA, IL 60504

Dupage County (630) 898-5322

JACQUELINE PENA LCSW, CADC

Social Worker (Clinical)

1256 WATERFORD DR
AURORA, IL 60504

Dupage County (630) 518-8628

BRYAN RUBACH M D SC

Specialist

1256 WATERFORD DR, SUITE 170
AURORA, IL 60504

Dupage County (630) 820-8653

SOUTHWEST DIGESTIVE DISEASES CONSULTANTS S C

Internal Medicine (Gastroenterology)

1256 WATERFORD DR, SUITE 120
AURORA, IL 60504

Dupage County (630) 820-4040

DR. GREGORY A SPITZ M.D., F.A.C.S

Surgery

1256 WATERFORD DR, SUITE 130
AURORA, IL 60504

Dupage County (630) 820-2727

G. SPITZ, M.D., LTD

Surgery

1256 WATERFORD DR, SUITE 130
AURORA, IL 60504

Dupage County (630) 820-2727

RUSH-COPLEY MEDICAL GROUP

Internal Medicine (Gastroenterology)

1256 WATERFORD DR, SUITE 120
AURORA, IL 60504

Dupage County (630) 820-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterford Counseling And Psychological Services, PC's NPI number?

The NPI number for Waterford Counseling And Psychological Services, PC is 1104250067. It was assigned to this organization in the NPPES registry on August 28, 2013.

Where is Waterford Counseling And Psychological Services, PC located?

Waterford Counseling And Psychological Services, PC is located at 1256 Waterford Dr Suite 140, Aurora, IL 60504. The listed phone number is (630) 898-5322.

What is Waterford Counseling And Psychological Services, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Waterford Counseling And Psychological Services, PC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.