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PALOS PSYCHIATRIC & RECOVERY INST LTD NPI 1063497345


NPI Information

NPI: 1063497345
Provider Name: PALOS PSYCHIATRIC & RECOVERY INST LTD
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
7300 W COLLEGE DR
101
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 448-8470
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PALOS PSYCHIATRIC & RECOVERY INST LTD is a clinical psychologist in Palos Heights, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PALOS PSYCHIATRIC & RECOVERY INST LTD NPI is 1063497345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7300 W COLLEGE DR
101
PALOS HEIGHTS, IL
ZIP 60463-152
Phone: (708) 448-8470
Fax: (708) 448-9651

The provider's authorized official is Dalia Collazo .
The authorized official title is Ins Coordinator and has the following contact phone number (708) 448-8470.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health18000637ILLINOISNo
2101YA0400XCounselorAddiction (Substance Use Disorder)ILLINOISNo
3103TC0700XPsychologistClinicalILLINOISNo
4104100000XSocial WorkerILLINOISNo
5103TC0700XPsychologistClinicalILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1465590MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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