Midamerican Psychological Institute Pc

LBN: Midamerican Psychological Institute Pc
Midamerican Psychological Institute Pc is an health care organization with primary practice located at 1415 Maple Rd , Joliet IL 60432-1442. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Midamerican Psychological Institute Pc can be contacted via phone (815) 735-0732, or through Moran, Daniel J via phone (815) 735-0732.

Contact Information

Primary practice address
1415 Maple Rd Joliet IL 60432-1442
Phone: (815) 735-0732
Fax: (815) 722-7310
Website:
Map and Directions
Authorized official contact:
Name: Moran, Daniel J PHD BCBA
Phone: (815) 735-0732

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006470 Illinois

Profile Details

NPI number 1366558553
LBN Legal business name Midamerican Psychological Institute Pc
DBA Doing business as
Authorized official Moran, Daniel J PHD BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 28th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366558553 NPPES
Illinois Other 9932152 BCBS GROUP NUMBER

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