| Psychological Associates Professionals Llc | |
|
5409 N Knoxville Ave Peoria IL 61614 | |
| (309) 691-0420 | |
| (309) 691-0520 |
| Full Name | Psychological Associates Professionals Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5409 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Donald R Legan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3096910420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Professionals Llc 5409 N Knoxville Ave Peoria IL 61614 Ph: (309) 691-0420 | Psychological Associates Professionals Llc 5409 N Knoxville Ave Peoria IL 61614 Ph: (309) 691-0420 |
| NPI Number | 1952378192 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 08/17/2017 |
| Medicare PECOS PAC ID | 5193795557 |
|---|---|
| Medicare Enrollment ID | O20040731000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952378192 | NPI | - | NPPES |
| 07220997 | Other | BCBS | |
| L015956 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 71002085 (Illinois) | Primary |
| Provider Name | Leone C Legan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710954953 PECOS PAC ID: 3870564008 Enrollment ID: I20040803000234 |
| Provider Name | Donald R Legan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467429605 PECOS PAC ID: 9739159195 Enrollment ID: I20100113000483 |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Meredith Messina Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 N Sterling Ave Ste 300a, Peoria, IL 61615 Phone: 309-323-0032 |