PEORIA PSYCHOLOGICAL ASSOCIATES, P.C.
NPI 1427021393
Psychologist - Clinical in Peoria, IL

Q: What is Peoria Psychological Associates, P.C.'s specialty?

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

Active since February 09, 2006

5505 N FAIRMONT DR, PEORIA, IL 61614(309) 689-6700(309) 689-0774 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Peoria Psychological Associates, P.c. NPPES

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

PEORIA PSYCHOLOGICAL ASSOCIATES, P.C. (NPI 1427021393) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since February 2006. The organization lists Jane Velez, Owner, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1427021393

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePEORIA PSYCHOLOGICAL ASSOCIATES, P.C.

Location Address5505 N FAIRMONT DRPeoria, IL 61614-4246

Mailing Address5505 N Fairmont DrPeoria, IL 61614-4246 · (309) 689-6700 · Fax (309) 689-0774

Phone(309) 689-6700

Fax(309) 689-0774

Organization SubpartNo

Authorized OfficialJane VelezOwner, Clinical Psychologist · (309) 689-6700

Enumeration DateFebruary 9, 2006

Last NPPES UpdateApril 12, 2012

✔ NPI 1427021393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071005320

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 ListedPsychologist · ForensicTaxonomy 103TF0200X · License 14987 (IL)

5505 N FAIRMONT DR, Peoria, IL 61614

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peoria Psychological Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peoria Psychological Associates, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jane Velez, PSY.D.

Clinical Psychologist

NPI 1699781260

5505 N FAIRMONT DRIVE
Peoria, IL 61614

(309) 689-6700

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peoria Psychological Associates, P.C.'s NPI number?

The NPI number for Peoria Psychological Associates, P.C. is 1427021393. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Peoria Psychological Associates, P.C. located?

Peoria Psychological Associates, P.C. is located at 5505 N Fairmont Dr, Peoria, IL 61614. The listed phone number is (309) 689-6700.

What is Peoria Psychological Associates, P.C.'s specialty?

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

Is Peoria Psychological Associates, P.C. enrolled in Medicare?

Yes. Peoria Psychological Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peoria Psychological Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Peoria Psychological Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peoria Psychological Associates, P.C. was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.