PSYCHOLOGICAL WELLNESS CENTER, INC. (NPI# 1104941798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104941798 |
Entity Type | Organization |
Organization Name | PSYCHOLOGICAL WELLNESS CENTER, INC. |
Practice Address |
1030 S La Grange Rd Suite 8 La Grange IL 60525-2800 |
Mailing Address |
12632 Royal Gorge Ct Mokena IL 60448-1661 |
Practice Telephone | 7083522597 |
Mailing Telephone | 7083692640 |
Mailing Fax Number | 7089955058 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. SUE SZUMIGALSKI (OWNER & PRESIDENT) |
Authorized Official Telephone | 7083692640 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
Street Address |
1030 S LA GRANGE RD SUITE 8 |
City | LA GRANGE |
State | IL |
Zip Code | 60525-2800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386996072 | Eagle Eye Home Services, Inc | In Home Supportive Care | 1030 S La Grange Rd, Suite 29, La Grange, IL 60525-2800 | 2012-10-05 |
1376879510 | Yolanda M Solecki | Counselor | 1030 S La Grange Rd, Office 9, La Grange, IL 60525-2800 | 2009-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
Find all providers in zip 60525 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
1174163463 | Kris Maynard Lcsw Ltd | Clinic/Center | 1030 S La Grange Rd Ste 9, La Grange, IL 60525-2893 | 2020-01-14 |
1639781073 | Pillars Community Health | Clinic/Center | 23 W Calendar Ave, La Grange, IL 60525-2365 | 2020-08-18 |
1003386640 | Pillars Community Health | Clinic/Center | 23 W Calendar Ave Ste 207, La Grange, IL 60525-6327 | 2018-11-27 |
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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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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.