PROVIDENCE CENTER FOR PSYCHOLOGICAL SERVICES
NPI 1699109587
Psychologist - Clinical in Wheaton, IL

Q: What is Providence Center For Psychological Services's specialty?

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

Active since August 27, 2013

100 W ROOSEVELT RD # B-203, WHEATON, IL 60187(630) 221-0600(630) 221-0606 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Providence Center For Psychological Services NPPES

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

PROVIDENCE CENTER FOR PSYCHOLOGICAL SERVICES (NPI 1699109587) is a healthcare organization registered as a clinical in Wheaton, Illinois and active in the NPI registry since August 2013. The organization lists Keena Peek, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1699109587

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePROVIDENCE CENTER FOR PSYCHOLOGICAL SERVICES

Location Address100 W ROOSEVELT RD # B-203Wheaton, IL 60187-5260

Mailing Address100 W Roosevelt Rd # B-203Wheaton, IL 60187-5260 · (630) 221-0600 · Fax (630) 221-0606

Phone(630) 221-0600

Fax(630) 221-0606

Organization SubpartNo

Authorized OfficialKeena PeekOwner/psychologist · (630) 221-0600

Enumeration DateAugust 27, 2013

✔ NPI 1699109587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071006625

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.

100 W ROOSEVELT RD # B-203, Wheaton, IL 60187

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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

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 Providence Center For Psychological Services's NPI number?

The NPI number for Providence Center For Psychological Services is 1699109587. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is Providence Center For Psychological Services located?

Providence Center For Psychological Services is located at 100 W Roosevelt Rd # B-203, Wheaton, IL 60187. The listed phone number is (630) 221-0600.

What is Providence Center For Psychological Services'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 Providence Center For Psychological Services was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.