Joseph Babione
Individual provider Active NPI Clinical Psychologist · Peoria, IL
NPI 1417575853 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1417575853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071.010307 (IL)
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0001 - Phone
- (309) 672-5522
- NPI assigned
- Jul 13, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Carle Health Care Incorporated
Practice addresses (Care Compare)
221 NE Glen Oak
Peoria, IL 61636
Phone (309) 672-5522
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
900 Main St
Peoria, IL 61602-1060
Hospital & facility affiliations
- Carle Health Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201026000589 | IL | Practitioner - Clinical Psychologist | 4082034392 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010307 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Tazwood Mental Health Center, Inc. | Current |
Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Human Service Center | Current |
Accepting new patients | |
| Tazwood Mental Health Center, Inc. | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522
600 Fayette St
Peoria, IL 61603
Phone (309) 671-8020
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 671-3100
228 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 671-8000
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
5409 N Knoxville Ave
Ste 100
Peoria, IL 61614
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010307 | IL | Yes |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Mailing address
5409 N Knoxville Ave Ste 100
Peoria, IL 61614-5069
Phone (309) 689-6008
Other providers in Peoria, IL
- Sabiya Azim
- B & B Counseling Services, LLC
- B and K Illinois, LLC
- Birgit Agyeiwaah Baah
- Joel J Baber
- Lily Babione
- Baby Steps Physical Therapy
- Jean Marie Bachman
- Karen Miae Back
- Moaviz Badshah
All providers in Peoria, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.