PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC
NPI 1952378192
Psychologist - Clinical in Peoria, IL

Active since March 07, 2006
5409 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-0420(309) 691-0520 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Jun 3, 2026, Aug 17, 2017 (3 updates tracked since 2017).

About Psychological Associates Professionals Llc NPPES

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

PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC (NPI 1952378192) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since March 2006. The organization lists Leone C Legan, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1952378192
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC
Location Address5409 N KNOXVILLE AVEPeoria, IL 61614
Mailing Address5409 N Knoxville AvePeoria, IL 61614-5069 · (309) 691-0420 · Fax (309) 691-0520
Fax(309) 691-0520
Organization SubpartNo
Authorized OfficialLeone C LeganClinical Psychologist · (309) 691-0420
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1952378192 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 · 71002085
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.
5409 N KNOXVILLE AVE, Peoria, IL 61614

Other Identifiers 2

Other07220997Bcbs
OtherL015956Champus

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Associates Professionals Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychological Associates Professionals LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1710954953
5409 N KNOXVILLE AVE PSYCHOLOGICAL ASSOCIATES
Peoria, IL 61614
(309) 691-0420
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychological Associates Professionals LLC's NPI number?

The NPI number for Psychological Associates Professionals LLC is 1952378192. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Psychological Associates Professionals LLC located?

Psychological Associates Professionals LLC is located at 5409 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-0420.

What is Psychological Associates Professionals LLC's specialty?

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

Is Psychological Associates Professionals LLC enrolled in Medicare?

Yes. Psychological Associates Professionals LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Associates Professionals LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychological Associates Professionals LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychological Associates Professionals LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.