| Associates In Clinical Psychology & Substance Abuse Pc | |
|
2024 Hickory Rd Ste 103 Homewood IL 60430-2158 | |
| (708) 957-3662 | |
| (708) 957-3695 |
| Full Name | Associates In Clinical Psychology & Substance Abuse Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2024 Hickory Rd Ste 103, Homewood, Illinois |
| Authorized Official Name and Position | John L Farrell (PRESIDENT) |
| Authorized Official Contact | 7089573695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Clinical Psychology & Substance Abuse Pc 2024 Hickory Rd Ste 103 Homewood IL 60430-2158 Ph: (708) 957-3662 | Associates In Clinical Psychology & Substance Abuse Pc 2024 Hickory Rd Ste 103 Homewood IL 60430-2158 Ph: (708) 957-3662 |
| NPI Number | 1194827238 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 7416905062 |
|---|---|
| Medicare Enrollment ID | O20050110001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194827238 | NPI | - | NPPES |
| 1673080 | Other | IL | BCBS GROUP PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | John L Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386746501 PECOS PAC ID: 8123076775 Enrollment ID: I20090608000333 |
| Provider Name | Karen E Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871717710 PECOS PAC ID: 5496703043 Enrollment ID: I20110225000627 |
Integrity Clinical Consulting & Training Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Ridge Rd, Suite 1sw, Homewood, IL 60430 Phone: 708-794-6511 Fax: 708-249-0022 | |
Minds Empowered Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 175th St, Homewood, IL 60430 Phone: 773-294-8312 | |
Liz Gray Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17900 Dixie Hwy, Suite 11, Homewood, IL 60430 Phone: 708-816-4729 | |
Fresh Start Community Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 183rd St, Ste 300, Homewood, IL 60430 Phone: 708-743-0832 | |
Tamara Fields, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Ridge Road, Unit 104, Homewood, IL 60430 Phone: 708-275-0937 Fax: 815-521-1889 | |
Alexander Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19114 Jonathan Ln, Homewood, IL 60430 Phone: 773-457-3303 | |
Minds Empowered Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 175th St, Homewood, IL 60430 Phone: 312-388-1505 |