Illini Christian Ministries Inc, NPI 1376635078
Psychologist in Saint Joseph, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1376635078
NPI Entity Type Organization
Provider Name Illini Christian Ministries Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 204 N Main St, Suite 203, Saint Joseph, IL, US
Provider Mailing Address Po Box 200, 204 N. Main Suite 203, Saint Joseph, IL, US, 618730200
Is Sole Proprietor? No
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Organization Official

Official Name MR. LCPC Tony Y Kirkman
Official Position EXEC DIR
Phone 217-469-7566

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

103T00000X

Taxonomy Name Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 178003791
License State IL
Description A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

Illini Christian Ministries Inc
204 N Main St
Suite 203

Saint Joseph, IL, US

Phone: 217-469-7566
Fax: 217-469-2568

Mailing Address

Illini Christian Ministries Inc
Po Box 200
204 N. Main Suite 203
Saint Joseph, IL, US
ZIP 618730200
Phone: 217-469-7566
Fax: 217-469-2568

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

103T00000X

Behavioral Health & Social Service Providers

Psychologist

180000680 IL No

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