Psycynergy Psychological Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

180004026 Issued in IL

Legal business name

PSYCYNERGY PSYCHOLOGICAL SERVICES

Practice address

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

Phone

(708) 566-4950

Fax

(708) 566-4382

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Denise Smith

Title

Executive Assistant

Phone

(708) 566-4950

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Amit Bhatia, MD

  • Psychiatry Physician
  • Bend, OR
  • NPI 1700268240
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1437515541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 E SIBLEY BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604262530",
            "telephone_number": "708-566-4950",
            "fax_number": "708-566-4382"
        },
        {
            "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": "708-566-4950",
            "fax_number": "708-566-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCYNERGY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "708-566-4950"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "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": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "IL",
            "license": "180004026",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "180004026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Mental Illness Community Based Residential Treatment Facility in Harvey, IL
• Providers in Harvey, IL by specialty
• Mental Illness Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.