| Psygenic Health Inc | |
|
920 175th St Ste 6 Homewood IL 60430-2077 | |
| (708) 879-2975 | |
| (708) 365-2949 |
| Full Name | Psygenic Health Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 920 175th St Ste 6, Homewood, Illinois |
| Authorized Official Name and Position | Theresa Olusola (MANAGER) |
| Authorized Official Contact | 7088792975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psygenic Health Inc 920 175th St Ste 6 Homewood IL 60430-2077 Ph: (708) 879-2975 | Psygenic Health Inc 920 175th St Ste 6 Homewood IL 60430-2077 Ph: (708) 879-2975 |
| NPI Number | 1356152169 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/19/2025 |
| Medicare PECOS PAC ID | 6406374941 |
|---|---|
| Medicare Enrollment ID | O20250519000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356152169 | NPI | - | NPPES |
| Provider Name | Joseph Olusola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649907536 PECOS PAC ID: 4587940853 Enrollment ID: I20230105001126 |
| Provider Name | Theresa Olusola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447943154 PECOS PAC ID: 2769768035 Enrollment ID: I20231121003285 |
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 | |
Crystal Clear Behavioral Health Services 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 |