Psycynergy Psychological Services PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

14013 Issued in IL

Legal business name

PSYCYNERGY PSYCHOLOGICAL SERVICES PC

Practice address

369 E Sibley Blvd
Suite a
Harvey, IL 60426-2530

Phone

(888) 205-5532

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jerry L Weems, PSY.D.

Title

President/Ceo/Senior Partner

Phone

(773) 671-0466

Specialties & licenses 9

Addresses

Other identifiers 1

Practitioners 1

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

• Thomas Smith Sr.

  • Behavior Technician
  • Harvey, IL
  • NPI 1972036994
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1093075301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S INDIANA PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052619",
            "telephone_number": "773-671-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E SIBLEY BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604262530",
            "telephone_number": "888-205-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCYNERGY PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO/SENIOR PARTNER",
        "authorized_official_telephone_number": "773-671-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "071006437",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": "071006437",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006437",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071006437",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "IL",
            "license": "071006437",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "14013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physicians Community Medical Center Harvey, S.C.
• Gwendolyn Denise Pinkney, FNP
• Pramod K Anand, M.D. LTD
• Dorothy S Price, LCSW
• Psycynergy Psychological Services
• Pulmonary Associates LTD
• Nicole Leigh Putman, RDN, LDN
• Paula Putzbach, OTR/L
• Jamie Rademacher, MSN, FNP-C
• Radiology Imaging Consultants SC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Harvey, IL
• Providers in Harvey, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.