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Contact Information

CENTER FOR PSYCHIATRIC HEALTH
1600 W WALNUT ST
JACKSONVILLE, IL62650-1136
 Phone: 217-245-9541
 Fax: 217-243-2206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CENTER FOR PSYCHIATRIC HEALTH

NPI # 1063680239
LBN Legal business name CENTER FOR PSYCHIATRIC HEALTH
Authorized official WENDI GRAHAM - (EXECUTIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2008
Last updated 03/22/2018 - About 8 years ago
Identifiers
IL Other 6932018 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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