| Neuroclinic And Assessments, Llc | |
|
659 Ridgeview Dr Mchenry IL 60050-7012 | |
| (815) 344-1999 | |
| (815) 516-5171 |
| Full Name | Neuroclinic And Assessments, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 659 Ridgeview Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Joshua C. Lavigne (DIRECTOR) |
| Authorized Official Contact | 8153441999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroclinic And Assessments, Llc 659 Ridgeview Dr Mchenry IL 60050-7012 Ph: (815) 344-1999 | Neuroclinic And Assessments, Llc 659 Ridgeview Dr Mchenry IL 60050-7012 Ph: (815) 344-1999 |
| NPI Number | 1053673988 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Medicare PECOS PAC ID | 1658524475 |
|---|---|
| Medicare Enrollment ID | O20130103000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053673988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071008295 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071008295 (Illinois) | Primary |
| Provider Name | Kelly Ann Pettit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194999409 PECOS PAC ID: 5890988984 Enrollment ID: I20101021000562 |
| Provider Name | Nicole L Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386922664 PECOS PAC ID: 7719144039 Enrollment ID: I20120127000989 |
| Provider Name | Joshua C Lavigne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174896633 PECOS PAC ID: 5496918013 Enrollment ID: I20120518000126 |
| Provider Name | Danielle Hellios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972273373 PECOS PAC ID: 6406245059 Enrollment ID: I20211119001548 |
| Provider Name | Jacy Lynn Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831969872 PECOS PAC ID: 0244674299 Enrollment ID: I20240216003759 |
Innovative Psychology Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 W Crystal Lake Rd, Unit L, Mchenry, IL 60050 Phone: 847-508-2016 | |
The Tabor Therapy Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5404 W Elm St Ste H, Mchenry, IL 60050 Phone: 815-331-8768 Fax: 815-331-8760 | |
Association Of Individual Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5342 W Elm St, Mchenry, IL 60050 Phone: 815-391-3379 | |
The Tabor Therapy Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050 Phone: 815-331-8768 Fax: 815-331-8768 | |
Aid - Dayton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 W Dayton St, Mchenry, IL 60050 Phone: 630-966-4000 | |
Wildfire Counseling And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Il Route 31 Ste 207, Mchenry, IL 60050 Phone: 815-575-8046 |