BANNER CLINICAL & PERFORMANCE PSYCHOLOGY LLC
NPI 1578409132
Psychologist - Clinical in Peoria, IL

Q: What is Banner Clinical & Performance Psychology LLC's specialty?

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

Active since April 27, 2026

2703 N MISSION RD, PEORIA, IL 61604(618) 554-2664 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Banner Clinical & Performance Psychology Llc NPPES

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

BANNER CLINICAL & PERFORMANCE PSYCHOLOGY LLC (NPI 1578409132) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since April 2026. The organization lists Jeffrey Laurence Grimes, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1578409132

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBANNER CLINICAL & PERFORMANCE PSYCHOLOGY LLC

Location Address2703 N MISSION RDPeoria, IL 61604-2343

Mailing Address2703 N Mission RdPeoria, IL 61604-2343 · (618) 554-2664

Phone(618) 554-2664

Organization SubpartNo

Authorized OfficialJeffrey Laurence GrimesLicensed Psychologist · (618) 554-2664

Enumeration DateApril 27, 2026

NPPES CertifiedApril 27, 2026

✔ NPI 1578409132 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.

2703 N MISSION RD, Peoria, IL 61604

Open in Google Maps ↗

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

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

DR. JEFFREY LAURENCE GRIMES PHD LP

Psychologist (Clinical)

2703 N MISSION RD
PEORIA, IL 61604

Peoria County (618) 554-2664

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 Banner Clinical & Performance Psychology LLC's NPI number?

The NPI number for Banner Clinical & Performance Psychology LLC is 1578409132. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Banner Clinical & Performance Psychology LLC located?

Banner Clinical & Performance Psychology LLC is located at 2703 N Mission Rd, Peoria, IL 61604. The listed phone number is (618) 554-2664.

What is Banner Clinical & Performance Psychology LLC'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 Banner Clinical & Performance Psychology LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.