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MAPLE STREET CLINIC LTD
NPI 1245252204
Psychiatry & Neurology - Psychiatry in Lawrenceville, IL

Active since July 25, 2006
1401 15TH ST, LAWRENCEVILLE, IL 62439(618) 839-4618(618) 943-1700 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Street Clinic Ltd NPPES

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

MAPLE STREET CLINIC LTD (NPI 1245252204) is a healthcare organization registered as a psychiatry in Lawrenceville, Illinois and active in the NPI registry since July 2006. The organization lists Linda E Hungerford, President, as its authorized official.

NPPES Registry Identity

NPI1245252204
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMAPLE STREET CLINIC LTD
Location Address1401 15TH STLawrenceville, IL 62439-2223
Mailing Address1401 15th StLawrenceville, IL 62439-2223 · (618) 839-4618 · Fax (618) 943-1700
Phone(618) 839-4618
Fax(618) 943-1700
Organization SubpartNo
Authorized OfficialLinda E HungerfordPresident · (618) 839-1561
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 19, 2014
✔ NPI 1245252204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036072942
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1401 15TH ST, Lawrenceville, IL 62439
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Other Identifiers 2

Medicaid036072942IL
Medicare UPINC48402IL

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 SINGLE SPECIALTY GROUP

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 Maple Street Clinic Ltd's NPI number?

The NPI number for Maple Street Clinic Ltd is 1245252204. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Maple Street Clinic Ltd located?

Maple Street Clinic Ltd is located at 1401 15th St, Lawrenceville, IL 62439. The listed phone number is (618) 839-4618.

What is Maple Street Clinic Ltd's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Maple Street Clinic Ltd was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.