Felicia L Sanford, PSYD, HSPP | |
339 Alana Dr, New Lenox, IL 60451-1766 | |
(815) 462-3827 | |
(815) 462-3837 |
Full Name | Felicia L Sanford |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 339 Alana Dr, New Lenox, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568654168 | NPI | - | NPPES |
09932429 | Other | IL | BLUE CROSS BLUE SHIELD |
200991950 | Medicaid | IN | |
000000659707 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 200424A (Indiana) | Primary |
103TC0700X | Psychologist - Clinical | 071006987 (Illinois) | Secondary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199 |
Mailing Address | Practice Location Address |
---|---|
Felicia L Sanford, PSYD, HSPP 339 Alana Dr, New Lenox, IL 60451-1766 Ph: (815) 462-3827 | Felicia L Sanford, PSYD, HSPP 339 Alana Dr, New Lenox, IL 60451-1766 Ph: (815) 462-3827 |
Patricia M. Morrin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 339 Alana Dr, New Lenox, IL 60451 Phone: 815-462-3827 Fax: 815-462-3837 | |
Liza Bruni, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 S Cedar Rd, New Lenox, IL 60451 Phone: 815-485-2169 | |
Mrs. Kirsten L Mitchell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2081 Calistoga Dr Ste 3n, New Lenox, IL 60451 Phone: 815-277-9906 Fax: 815-277-9907 | |
Andrew Dejong, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1801 E Lincoln Hwy, New Lenox, IL 60451 Phone: 815-717-3601 | |
Dr. Scott W Stubenrauch, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 339 Alana Dr, New Lenox, IL 60451 Phone: 815-462-3827 | |
Mr. Thomas L Swietzer, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Mcdivitt Dr, New Lenox, IL 60451 Phone: 815-485-1542 | |
Dr. Aimee Echevarria, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1361 E Lincoln Hwy, New Lenox, IL 60451 Phone: 847-204-1362 |