CREATING PEACE OF MIND COGNITIVE BEHAVIORAL HEALTH-LLC (NPI# 1427520352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427520352 |
| Entity Type | Organization |
| Organization Name | CREATING PEACE OF MIND COGNITIVE BEHAVIORAL HEALTH-LLC |
| Practice Address |
7 Eagle Ctr Ste I O Fallon IL 62269-1946 |
| Mailing Address |
650 Hillsboro Ave Edwardsville IL 62025-1865 |
| Practice Telephone | 6184081256 |
| Practice Fax Number | 6186928142 |
| Mailing Telephone | 6184081256 |
| Mailing Fax Number | 6186928142 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | DR. ROBIN L DALSKE (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 6184081256 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1326361502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5000 W Main St, Belleville, IL 622264727 | 6184081256 | 6186928142 |
| Street Address |
7 EAGLE CTR STE I |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073581781 | Laura Middleton | Psychologist | 1669 Windham Way, Suite B, O Fallon, IL 62269-3072 | 2006-03-09 |
| 1356669881 | Keisha Suenelle Ross | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2010-05-07 |
| 1033354501 | Lisa D Mcgrath | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2008-12-11 |
| 1316198294 | Cara Newman | Psychologist | 1137 N Main St, # 2, O Fallon, MO 63366-1498 | 2008-10-09 |
| 1518092493 | Sheila L. Kleinman, Ph.d., P.C. | Psychologist | 822 W State St, O Fallon, IL 62269-1808 | 2007-02-22 |
| 1194879288 | Craig Lotz | Psychologist | 310 N Seven Hills Rd, O Fallon, IL 62269-4111 | 2007-01-23 |
| 1487717963 | Susan L Sanderson | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CREATING PEACE OF MIND COGNITIVE BEHAVIORAL HEALTH-LLC.
| 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.