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PSYCHOLOGICAL SERVICES IN THE QUAD CITIES PC NPI 1881604270


NPI Information

NPI: 1881604270
Provider Name: PSYCHOLOGICAL SERVICES IN THE QUAD CITIES, PC

Doing Business As: PSI

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4324 7TH ST
MOLINE, IL
ZIP 61265
Phone: (309) 757-9000
Get Directions

PSYCHOLOGICAL SERVICES IN THE QUAD CITIES, PC is a clinical psychologist in Moline, 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. PSYCHOLOGICAL SERVICES IN THE QUAD CITIES, PC NPI is 1881604270. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psi.

The provider's business location address is:

4324 7TH ST
MOLINE, IL
ZIP 61265-867
Phone: (309) 757-9000
Fax: (309) 757-9057

The provider's authorized official is John C Brooke .
The authorized official title is President and has the following contact phone number (309) 757-9000.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 6/7/2012.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)A36090002AILLINOISNo
2101YP2500XCounselorProfessional180004596ILLINOISNo
3103TC0700XPsychologistClinical071005773ILLINOISNo
41041C0700XSocial WorkerClinical149007376ILLINOISNo
5103TC0700XPsychologistClinical072002883ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.