| Fj Psychological Services | |
|
814 N Mill St Unit 5 Mchenry IL 60050-5336 | |
| (224) 587-9128 | |
| Not Available |
| Full Name | Fj Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 814 N Mill St Unit 5, Mchenry, Illinois |
| Authorized Official Name and Position | Melissa Folk-jednoroz (OWNER/THERAPIST) |
| Authorized Official Contact | 2245879128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fj Psychological Services 5400 W Elm St Ste 120 Mchenry IL 60050-4035 Ph: (224) 587-9128 | Fj Psychological Services 814 N Mill St Unit 5 Mchenry IL 60050-5336 Ph: (224) 587-9128 |
| NPI Number | 1730606575 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7315344587 |
|---|---|
| Medicare Enrollment ID | O20210930002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730606575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071009064 (Illinois) | Primary |
| Provider Name | Mary B Gamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457805541 PECOS PAC ID: 8123305612 Enrollment ID: I20170510002616 |
| Provider Name | Melissa Jean Folk-jednoroz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1912290511 PECOS PAC ID: 8224435490 Enrollment ID: I20210930002434 |
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