| Midwestern Psychological Consultants | |
|
6201 W Main St Ste 130 Maryville IL 62062-6870 | |
| (618) 979-5087 | |
| (618) 551-2802 |
| Full Name | Midwestern Psychological Consultants |
|---|---|
| Speciality | Psychologist |
| Location | 6201 W Main St Ste 130, Maryville, Illinois |
| Authorized Official Name and Position | Robin Lee Myers (OWNER) |
| Authorized Official Contact | 6189795087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern Psychological Consultants 6201 W Main St Ste 130 Maryville IL 62062-6870 Ph: (618) 979-5087 | Midwestern Psychological Consultants 6201 W Main St Ste 130 Maryville IL 62062-6870 Ph: (618) 979-5087 |
| NPI Number | 1487195582 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Medicare PECOS PAC ID | 5496187122 |
|---|---|
| Medicare Enrollment ID | O20191118001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487195582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006112 (Illinois) | Primary |
| Provider Name | Robin L Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528103108 PECOS PAC ID: 2163505991 Enrollment ID: I20080215000662 |
| Provider Name | Steven J Byrnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144218785 PECOS PAC ID: 0648426783 Enrollment ID: I20231102001732 |
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