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ASSOCIATES FOR INNOVATIVE CHANGE
NPI 1205358579
Psychologist - Clinical in St Charles, IL

Active since July 08, 2017
210 S 5TH ST STE 103, ST CHARLES, IL 60174(224) 678-9033 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Jul 8, 2017 (2 updates tracked since 2017).

About Associates For Innovative Change NPPES

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

ASSOCIATES FOR INNOVATIVE CHANGE (NPI 1205358579) is a healthcare organization registered as a clinical in St Charles, Illinois and active in the NPI registry since July 2017. The organization lists Kathryn R Juzwin, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1205358579
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameASSOCIATES FOR INNOVATIVE CHANGE
Location Address210 S 5TH ST STE 103St Charles, IL 60174-2700
Mailing Address210 S 5th St Ste 103St Charles, IL 60174-2700 · (224) 678-9033 · Fax (224) 678-9493
Phone(224) 678-9033
Organization SubpartNo
Authorized OfficialKathryn R JuzwinClinical Psychologist · (224) 678-9033
Enumeration DateJuly 8, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1205358579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
210 S 5TH ST STE 103, St Charles, IL 60174
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Other Identifiers 1

Other1518158948IL · Clinical Psychologist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NATALIE PACINI LCSW
Social Worker (Clinical)
210 S 5TH ST STE 103
SAINT CHARLES, IL 60174
Kane County (224) 678-9033

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 Associates For Innovative Change's NPI number?

The NPI number for Associates For Innovative Change is 1205358579. It was assigned to this organization in the NPPES registry on July 8, 2017.

Where is Associates For Innovative Change located?

Associates For Innovative Change is located at 210 S 5th St Ste 103, St Charles, IL 60174. The listed phone number is (224) 678-9033.

What is Associates For Innovative Change'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 Associates For Innovative Change was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.