PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS, P.C. - NPI 1245281583

Q: What is Psychological Services Of Central Illinois, P.C.'s specialty?

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

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About Psychological Services Of Central Illinois, P.c. NPPES

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

PSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS, P.C. (NPI 1245281583) is a healthcare organization registered as a clinical in Springfield, Illinois and active in the NPI registry since May 2006. The organization lists Richard E. Dimond, President, as its authorized official.

NPPES Registry Identity

NPI1245281583

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePSYCHOLOGICAL SERVICES OF CENTRAL ILLINOIS, P.C.

Location Address2921 GREENBRIAR DR, SUITE B-1Springfield, IL 62704-6425

Mailing Address2921 Greenbriar Dr, Suite B-1Springfield, IL 62704-6425 · (217) 546-3118 · Fax (217) 546-3184

Phone(217) 546-3118

Fax(217) 546-3184

Organization SubpartNo

Authorized OfficialRichard E. DimondPresident · (217) 546-3118

Enumeration DateMay 12, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1245281583 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.

2921 GREENBRIAR DR, Springfield, IL 62704

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Other Identifiers 3

Other0008423762IL · Blue Cross-blue Shield

Other0008423762IL · Hmo Illinois

Medicare ID-Type Unspecified610010IL · Medicare

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

Other Providers at the Same Location NPPES 10

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

CRAIG A BACKS M.D.

Internal Medicine

2921 GREENBRIAR DR
SPRINGFIELD, IL 62704

Sangamon County (217) 321-1987

PATRICIA REICHART NP

Nurse Practitioner

2921 GREENBRIAR DR, STE C
SPRINGFIELD, IL 62704

Sangamon County (217) 787-9800

CRAIG A BACKS MD LLC

Internal Medicine

2921 GREENBRIAR DR, SUITE C
SPRINGFIELD, IL 62704

Sangamon County (217) 321-1987

MRS. LAURIE ANN SALVACION P.T.

Physical Therapist

2921 GREENBRIAR DR, SUITE B
SPRINGFIELD, IL 62704

Sangamon County (217) 546-3301

DR. RICHARD E DIMOND PH.D.

Psychologist (Clinical)

2921 GREENBRIAR DR, SUITE B-1
SPRINGFIELD, IL 62704

Sangamon County (217) 546-3118

MR. BRADLEY M. BLEVINS PTA

Physical Therapy Assistant

2921 GREENBRIAR DR, SUITE B-2
SPRINGFIELD, IL 62704

Sangamon County (217) 546-3301

MR. DARRELL B SIMMERMAKER MS, PTA

Physical Therapy Assistant

2921 GREENBRIAR DR, SUITE B
SPRINGFIELD, IL 62704

Sangamon County (217) 546-3301

DR. JOANNE G. MOUSSETTE PSY.D.

Psychologist (Clinical)

2921 GREENBRIAR DR, SUITE B-1
SPRINGFIELD, IL 62704

Sangamon County (217) 546-3118

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 Psychological Services Of Central Illinois, P.C.'s NPI number?

The NPI number for Psychological Services Of Central Illinois, P.C. is 1245281583. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Psychological Services Of Central Illinois, P.C. located?

Psychological Services Of Central Illinois, P.C. is located at 2921 Greenbriar Dr Suite B-1, Springfield, IL 62704. The listed phone number is (217) 546-3118.

What is Psychological Services Of Central Illinois, P.C.'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 Psychological Services Of Central Illinois, P.C. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.