| Psychological Services Of Central Illinois, P.c. | |
|
2921 Greenbriar Dr Suite B-1 Springfield IL 62704-6425 | |
| (217) 546-3118 | |
| (217) 546-3184 |
| Full Name | Psychological Services Of Central Illinois, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2921 Greenbriar Dr, Springfield, Illinois |
| Authorized Official Name and Position | Richard E. Dimond (PRESIDENT) |
| Authorized Official Contact | 2175463118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Central Illinois, P.c. 2921 Greenbriar Dr Suite B-1 Springfield IL 62704-6425 Ph: (217) 546-3118 | Psychological Services Of Central Illinois, P.c. 2921 Greenbriar Dr Suite B-1 Springfield IL 62704-6425 Ph: (217) 546-3118 |
| NPI Number | 1245281583 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5193722452 |
|---|---|
| Medicare Enrollment ID | O20061030000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245281583 | NPI | - | NPPES |
| 0008423762 | Other | IL | HMO ILLINOIS |
| 0008423762 | Other | IL | BLUE CROSS-BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | John E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558359828 PECOS PAC ID: 1052481611 Enrollment ID: I20080609000496 |
| Provider Name | Joanne G. Moussette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750332037 PECOS PAC ID: 8820095193 Enrollment ID: I20100924001340 |
| Provider Name | Richard Emil Dimond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548212145 PECOS PAC ID: 4284631557 Enrollment ID: I20100924001353 |
| Provider Name | Keith L Buescher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841242450 PECOS PAC ID: 6002813375 Enrollment ID: I20101004000068 |
| Provider Name | Therese M Meyer Cox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881602043 PECOS PAC ID: 0840488235 Enrollment ID: I20101229000850 |
| Provider Name | Alicia Crossland Shapinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952652331 PECOS PAC ID: 3577822576 Enrollment ID: I20180122000006 |
| Provider Name | Sheryl Reminger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861650525 PECOS PAC ID: 3577897305 Enrollment ID: I20190627000827 |
| Provider Name | Julie Ann Alderman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932408887 PECOS PAC ID: 1052754637 Enrollment ID: I20240212000280 |
| Provider Name | Georgia Dee Winson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780332775 PECOS PAC ID: 9032553276 Enrollment ID: I20240215003507 |
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