| Personal Growth Associates, Inc. | |
|
919 N Plum Grove Rd Suite C Schaumburg IL 60173-5144 | |
| (847) 413-9700 | |
| (847) 413-1701 |
| Full Name | Personal Growth Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 919 N Plum Grove Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Ginger Larson (BILLING MANAGER) |
| Authorized Official Contact | 8474139700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Growth Associates, Inc. 919 N Plum Grove Rd Suite C Schaumburg IL 60173-5144 Ph: (847) 413-9700 | Personal Growth Associates, Inc. 919 N Plum Grove Rd Suite C Schaumburg IL 60173-5144 Ph: (847) 413-9700 |
| NPI Number | 1184643124 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/21/2013 |
| Medicare PECOS PAC ID | 8921058140 |
|---|---|
| Medicare Enrollment ID | O20050126000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184643124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Timothy J Re |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265425979 PECOS PAC ID: 9335199561 Enrollment ID: I20050126000341 |
| Provider Name | Steven L Wodka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225099872 PECOS PAC ID: 1951358654 Enrollment ID: I20050405000771 |
| Provider Name | Susan E Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477529287 PECOS PAC ID: 5597702852 Enrollment ID: I20050408000657 |
| Provider Name | Mark A Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689635666 PECOS PAC ID: 9436196110 Enrollment ID: I20050414000049 |
| Provider Name | Joseph M Ripp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427071679 PECOS PAC ID: 6800816281 Enrollment ID: I20051130000363 |
| Provider Name | Mark A Bakal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104925239 PECOS PAC ID: 1759468333 Enrollment ID: I20080407000458 |
| Provider Name | Maria Luisa P Estrada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356389142 PECOS PAC ID: 5496832917 Enrollment ID: I20080408000907 |
| Provider Name | Sara R Danesi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942631304 PECOS PAC ID: 4880825603 Enrollment ID: I20140320000739 |
| Provider Name | Donna G Jacoby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649423864 PECOS PAC ID: 4284810813 Enrollment ID: I20150311002252 |
| Provider Name | Donna Siller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720088388 PECOS PAC ID: 9739072158 Enrollment ID: I20150402001401 |
| Provider Name | Robin Palmissano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821504762 PECOS PAC ID: 1254694193 Enrollment ID: I20180406000986 |
| Provider Name | Meghan Scully |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265819908 PECOS PAC ID: 0042565293 Enrollment ID: I20180612002483 |
| Provider Name | Erica Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356750103 PECOS PAC ID: 7810355518 Enrollment ID: I20230627002573 |
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