Lookup NPI Numbers from the NPI Registry
NPI Profile for FORT HEALTH MEDICAL GROUP PA in SPRINGFIELD, IL.
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Professional |
101YP2500X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1972342046 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/20/2024 | |
| Last updated | 03/26/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FORT HEALTH MEDICAL GROUP PA
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| COMPREHENSIVE PSYCHOLOGICAL & HEALTH ASSOCIATION PLLC 2501 CHATHAM ROAD SPRINGFIELD, IL |
| CAROL J LANTZ, APN 3132 OLD JACKSONVILLE RD SPRINGFIELD, IL |
| AMY NUDO I, MS 5230 SOUTH 6TH STREET ROAD SPRINGFIELD, IL |
| KRIPAKARAN M PUVALAI, MD 1124 SOUTH SIXTH STREET SPRINGFIELD, IL |
| ELIZABETH R STEVENSON, LSW 58500 S 6TH STREET SPRINGFIELD, IL |
| JACOB M KITCHENER, MD 421 N 9TH ST SPRINGFIELD, IL |
| BASAR CENIK, MD 520 N 4TH ST SPRINGFIELD, IL |
| JUSTINE H MORGAN, CFNP 415 N 9TH ST SPRINGFIELD, IL |
| STACY R LEE, LCSW 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL |
| KATHLEEN M BOTTUM, MD 751 N RUTLEDGE ST STE 1700 SPRINGFIELD, IL |
FORT HEALTH MEDICAL GROUP PA