Psychological Health Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

060007700071003068 Issued in IL

Legal business name

PSYCHOLOGICAL HEALTH ASSOCIATES

Practice address

303 N 2ND St Ste B
St Charles, IL 60174-1804

Phone

(630) 587-3311

Fax

(630) 587-3355

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cherry D Weber, PH.D.

Title

President

Phone

(630) 587-3311

Specialties & licenses 1

Addresses

Other names 1

• Health and Wellness Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Ann Marshall, L.C.S.W.

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1528133253
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1003008178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST STE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-587-3311",
            "fax_number": "630-587-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST STE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-587-3311",
            "fax_number": "630-587-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-587-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "060007700071003068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Prieto
• Prism Point Counseling LTD
• Madelyn Prodoehl
• Scott Prose, D.D.S., M.S.
• Sarah Pruss, DVM
• Patricia D Purnell, MA, LPC
• Kylie Ann Pytlak
• Benjamin Aaron Pyykkonen, PH.D.
• Danielle Nicole Quanstrum
• Eric J Quartetti, M.D.

• Mental Health Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.