THE PRAIRIE CLINIC
NPI 1184863847
Psychologist - Clinical Child & Adolescent in Geneva, IL
- Organization
- Psychologist
- Clinical Child & Adolescent
About THE PRAIRIE CLINIC
This page provides the complete NPI Profile along with additional information for The Prairie Clinic, a provider established in Geneva, Illinois operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1184863847 assigned on February 2009. The practitioner's primary taxonomy code is 103TC2200X with license number 071006627 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Stacey M Wahlberg (Office Manager)
- NPI
- 1184863847 Verify this NPI
- Provider Name
- THE PRAIRIE CLINIC
- Entity Type
- Organization
- Location Address
- 1541 E FABYAN PKWY SUITE 101 GENEVA, IL 60134
- Location Phone
- (630) 845-9644
- Location Fax
- (630) 845-9678
- Mailing Address
- 1541 E FABYAN PKWY SUITE 101 GENEVA, IL 60134
- Mailing Phone
- (630) 845-9644
- Mailing Fax
- (630) 845-9678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2009
- Last Update Date
- 02-19-2009
- 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
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071006627
- License State
- IL
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GENEVA, IL 60134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184863847, enumerated as an "organization" on February 19, 2009.
The provider is located at 1541 E FABYAN PKWY SUITE 101 GENEVA, IL 60134 and the phone number is (630) 845-9644.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
