PSYCYNERGY PSYCHOLOGICAL SERVICES PC


Address: 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530
Phone: 8882055532

PSYCYNERGY PSYCHOLOGICAL SERVICES PC (NPI# 1093075301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093075301
Entity Type Organization
Organization Name PSYCYNERGY PSYCHOLOGICAL SERVICES PC
Practice Address 369 E Sibley Blvd
Suite A
Harvey
IL 60426-2530
Mailing Address 1337 S Indiana Pkwy
Chicago
IL 60605-2619
Practice Telephone 8882055532
Mailing Telephone 7736710466
Enumeration Date 2012-05-21
Last Update Date 2017-05-09
Authorized Official Name DR. JERRY L WEEMS (PRESIDENT/CEO/SENIOR PARTNER)
Authorized Official Telephone 7736710466
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
180004026 IL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
180004026 IL Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
071006437 IL Behavioral Health & Social Service Providers
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
071006437 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
071006437 IL Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
071006437 IL Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
071006437 IL Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 180004026 IL Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
14013 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 14013 05

Office Location

Street Address 369 E SIBLEY BLVD
SUITE A
City HARVEY
State IL
Zip Code 60426-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972036994 Thomas Smith Sr. Behavior Technician 369 E Sibley Blvd, Harvey, IL 60426-2530 2017-04-06
1407204944 Jerry Weems Counselor 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530 2016-05-25
1437515541 Psycynergy Psychological Services Counselor 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530 2016-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295377471 Carol E Gillett Technician 14607 Jefferson St., Harvey, IL 60426 2019-10-09
1356866479 Zzm Investments Inc Non-emergency Medical Transport (VAN) 16429 Halsted St, Harvey, IL 60426 2017-08-09
1639628225 Scottlab, Ltd. Clinical Medical Laboratory 71 W 156th St Ste 206a, Harvey, IL 60426 2016-09-24
1043608631 Yvette M. Johnson Nurse Practitioner 31 W. 155th Street, Harvey, IL 60426 2015-01-05
1558665539 Phillip T Robinson Contractor 16001 Marshfield St, Harvey, IL 60426 2011-01-05
1669657466 South Shore Behavioral Consultants Counselor 369 East 147th Street Suite E, Harvey, IL 60426 2007-12-31
1770784670 County of Cook Harvey Public School District 152 Local Education Agency (LEA) 152nd Myrtle St, Harvey, IL 60426 2007-05-29
1518180678 Associated Medical Center Sc Family Medicine 15900 So Carol Avenue, Harvey, IL 60426 2007-04-10
1336269133 Cook County Clinic/Center 650 E Phoenix Center Dr, Phoenix, IL 60426 2007-03-29
1932243433 Michael T Jones Dmd Ltd Dentist 15335 Page Ave, Harvey, IL 60426 2007-02-16
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659848711 Casey Renka Clinic/Center 2309 Manhattan Blvd, Harvey, LA 70058-7319 2018-10-26
1407373657 Parker Counseling Services, LLC Clinic/Center 1801 Manhattan Blvd Ste J-175, Harvey, LA 70058-7300 2017-08-28
1053768564 Family Guidance Centers, Inc. Clinic/Center 15400 Page Ave, Harvey, IL 60426-3527 2016-05-16
1528397148 Grand Prairie Services Clinic/Center 31 W 155th St, Harvey, IL 60426-3556 2009-12-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639990 Mindy Forman, Psyd, LLC Clinic/Center 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 2020-11-07
1346840295 Stopka Professional Counseling LLC Clinic/Center 13125 Steeplechase Dr, New Lenox, IL 60451-1320 2020-10-29
1346848785 Wellness Hearted Therapy LLC Clinic/Center 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 2020-10-16
1457959256 Association for Individual Development Clinic/Center 708 N Bridge St, Yorkville, IL 60560-1105 2020-10-14
1285231555 Association for Individual Development Clinic/Center 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 2020-10-08
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
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Competitor

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City HARVEY
Zip Code 60426

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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