Andrea Mammen (NPI# 1881953651, PAC ID# 2264696343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1881953651 |
| PAC ID by PECOS | 2264696343 |
| Professional Enrollment ID | I20120621000527 |
| Full Name | Andrea Mammen |
| Organization Legal Name | PSYCHOLOGY SPECIALISTS LTD |
| Address |
113 N Pkwy Dr Pekin IL 61554-3932 |
| Phone Number | 3097063190 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9739152380 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 113 N Pkwy Dr, Pekin, IL 61554-3932 | 3097063190 | PSYCHOLOGY SPECIALISTS LTD |
| Organization Legal Name | PSYCHOLOGY SPECIALISTS LTD |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzana Flores | Psychologist, Clinical | Psychology Specialists Ltd | 901 E Jefferson St, Phoenix, AZ 85034-2219 |
| Jie Jiao | Psychologist, Clinical | Psychology Specialists Ltd | 113 N Pkwy Dr, Pekin, IL 61554-3932 |
| Tomike Lana | Clinical Psychologist | Psychology Specialists Ltd | 350s Northwest Hwy, Park Ridge, IL 60068-4216 |
| Kelly J Knutson | Psychologist, Clinical | Psychology Specialists Ltd | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6075 |
| Heather Obrien | Psychologist, Clinical | Psychology Specialists Ltd | 1801 Windsor Rd, Suite 2167, Champaign, IL 61822-6217 |
| Blair M Brown | Psychologist, Clinical | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Athena M Dacanay | Psychologist, Clinical | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Jamie N Smith | Clinical Social Worker | Psychology Specialists Ltd | 102 W Kenwood Ave, 120a, Decatur, IL 62526-4302 |
| Seth Hatlelid | Psychologist, Clinical | Psychology Specialists Ltd | 1015 S Mercer Ave, Millenium Pain Center, Bloomington, IL 61701-7107 |
| Cheryl Renee Carter | Psychologist, Clinical | Psychology Specialists Ltd | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6075 |
| Street Address |
113 N PKWY DR |
| City | PEKIN |
| State | IL |
| Zip | 61554-3932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jie Jiao | Psychologist, Clinical | Psychology Specialists Ltd | 113 N Pkwy Dr, Pekin, IL 61554-3932 |
| Regina Brian | Psychologist, Clinical | Psychology Specialists Ltd | 113 N Pkwy Dr, Pekin, IL 61554-3932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendon J Johnson | Optometry | 2611 Broadway St, Pekin, IL 61554-2501 | |
| Douglas C Harrington | Obstetrics/gynecology | 2709 Broadway St, Pekin, IL 61554-2676 | |
| Raymond Rs Heyde | Ophthalmology | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| William E Fish | Optometry | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| Jerry B Witt | Chiropractic | 611 Margaret St, Pekin, IL 61554-3355 | |
| Jijun Liu | Medical Oncology | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Lindsey Lorraine Grys | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Pawan Sarda | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Tahir Ilahi | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Find all physicians in zip 61554 | |||
| City | PEKIN |
| Zip Code | 61554 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PEKIN + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.