SPRINGFIELD CTR PSYCHOLOGICAL SVS
NPI 1730231135
Psychologist - Clinical in Springfield, IL

Active since January 17, 2007
1201 S VETERANS PKWY, SUITE B, SPRINGFIELD, IL 62704(217) 793-2770(217) 793-2887 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springfield Ctr Psychological Svs NPPES

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

SPRINGFIELD CTR PSYCHOLOGICAL SVS (NPI 1730231135) is a healthcare organization registered as a clinical in Springfield, Illinois and active in the NPI registry since January 2007. The organization lists Robert Leon Jackson, Psychologist President, as its authorized official.

NPPES Registry Identity

NPI1730231135
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSPRINGFIELD CTR PSYCHOLOGICAL SVS
Location Address1201 S VETERANS PKWY, SUITE BSpringfield, IL 62704-6321
Mailing Address1201 S Veterans Pkwy, Suite BSpringfield, IL 62704-6321 · (217) 793-2770 · Fax (217) 793-2887
Fax(217) 793-2887
Organization SubpartNo
Authorized OfficialRobert Leon JacksonPsychologist President · (217) 793-2770
Enumeration DateJanuary 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1730231135 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.
1201 S VETERANS PKWY, Springfield, IL 62704

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 4

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

Psychologist (Clinical)
1201 S VETERANS PKWY, SUITE B
SPRINGFIELD, IL 62704
Counselor (Professional)
1201 S VETERANS PKWY, SUITE B
SPRINGFIELD, IL 62704
Social Worker (Clinical)
1201 S VETERANS PKWY, SUITE B
SPRINGFIELD, IL 62704
Social Worker (Clinical)
1201 S VETERANS PKWY, SUITE B
SPRINGFIELD, IL 62704

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 Springfield Ctr Psychological Svs's NPI number?

The NPI number for Springfield Ctr Psychological Svs is 1730231135. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Springfield Ctr Psychological Svs located?

Springfield Ctr Psychological Svs is located at 1201 S Veterans Pkwy Suite B, Springfield, IL 62704. The listed phone number is (217) 793-2770.

What is Springfield Ctr Psychological Svs'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 Springfield Ctr Psychological Svs was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.