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SUPPORTIVE CARE OF ILLINOIS PC
NPI 1861199911
Psychologist - Clinical in Marshall, IL

Active since February 09, 2023
410 N 2ND ST, MARSHALL, IL 62441(866) 708-1240 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Supportive Care Of Illinois Pc NPPES

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

SUPPORTIVE CARE OF ILLINOIS PC (NPI 1861199911) is a healthcare organization registered as a clinical in Marshall, Illinois and active in the NPI registry since February 2023. The organization lists Dov Newmark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861199911
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUPPORTIVE CARE OF ILLINOIS PC
Location Address410 N 2ND STMarshall, IL 62441-1010
Mailing Address27 Randolph RdHowell, NJ 07731-8611
Phone(866) 708-1240
Organization SubpartNo
Authorized OfficialDov NewmarkCeo · (718) 298-2753
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1861199911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
410 N 2ND ST, Marshall, IL 62441
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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

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.

MARK DAVID MARTIN COTA/L
Occupational Therapy Assistant
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
MS. BRANDI RENEE YORK OTR/L
Occupational Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
JULIE JUSTINE PEPITO SIOS-E
Physical Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
SGM PHYSICAL THERAPY
Physical Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2365
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Urology
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2361
ABIDEMI BALOGUN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
410 N 2ND ST
MARSHALL, IL 62441
Clark County (718) 506-1115
JAMES A TURNER DO
Family Medicine
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2361
TERRE HAUTE MEDICAL LABORATORY, INC.
Clinical Medical Laboratory
410 N 2ND ST
MARSHALL, IL 62441
Clark County (812) 244-0100

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 Supportive Care Of Illinois PC's NPI number?

The NPI number for Supportive Care Of Illinois PC is 1861199911. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Supportive Care Of Illinois PC located?

Supportive Care Of Illinois PC is located at 410 N 2nd St, Marshall, IL 62441. The listed phone number is (866) 708-1240.

What is Supportive Care Of Illinois PC'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 Supportive Care Of Illinois PC was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.