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ENVISION PSYCHOLOGICAL SERVICES P.C. NPI 1477855328


NPI Information

NPI: 1477855328
Provider Name: ENVISION PSYCHOLOGICAL SERVICES, P.C.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1100 COUGAR TRL
CARY, IL
ZIP 60013
Phone: (815) 388-9071
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ENVISION PSYCHOLOGICAL SERVICES, P.C. is a clinical psychologist in Cary, 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. ENVISION PSYCHOLOGICAL SERVICES, P.C. NPI is 1477855328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 COUGAR TRL
CARY, IL
ZIP 60013-057
Phone: (815) 388-9071
Fax: (847) 516-2510

The provider's authorized official is Susan M Stasek .
The authorized official title is Clinical Psychologist and has the following contact phone number (815) 388-9071.

The enumeration date for this NPI number is 11/29/2010 and was last updated on 11/29/2010.


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
1103TC0700XPsychologistClinical071005965ILLINOISYes

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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