VINE ST CLINIC - NPI 1730217662 - Psychiatry & Neurology in Springfield, IL

Q: What is Vine St Clinic's NPI number?

The NPI number for Vine St Clinic is 1730217662. It was assigned to this organization in the NPPES registry on March 1, 2007.

Q: What is Vine St Clinic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vine St Clinic was last updated on April 1, 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.

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About Vine St Clinic NPPES

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

VINE ST CLINIC (NPI 1730217662) is a healthcare organization registered as a psychiatry in Springfield, Illinois and active in the NPI registry since March 2007. The organization lists Richard B Alexander, Partner, as its authorized official.

NPPES Registry Identity

NPI1730217662

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameVINE ST CLINIC

Location Address3225 HEDLEY RDSpringfield, IL 62711-6248

Mailing Address3225 Hedley Rd, Po Box 13484Springfield, IL 62711-6248 · (217) 726-7300 · Fax (217) 726-5989

Phone(217) 726-7300

Fax(217) 726-5989

Organization SubpartNo

Authorized OfficialRichard B AlexanderPartner · (217) 726-7300

Enumeration DateMarch 1, 2007

Last NPPES UpdateApril 1, 2008

✔ NPI 1730217662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

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.

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X

3225 HEDLEY RD, Springfield, IL 62711

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Other Identifiers 3

OtherCL5057GA · Railroad Medicare

Other08415473IL · Blue Cross Blue Shield

Medicare PIN210258IL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MRS. DEBORAH LOUISE TAYLOR ACSW, LCSW, DCSW

Social Worker (Clinical)