Unknown Individual – Psychologist, NPI 1295723617
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South 5th Street, Hawthorne Place, Springfield, Sangamon County, Illinois, 62701, United States
SPRINGFIELD, IL 627032312
Phone: (217) 544-3143
Fax: (217) 544-4436
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| P S Y C H I A T R Y | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL |
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