Organization Active NPI

Psychological Testing Center

  • Psychologist
  • Bloomington, IL
National Provider Identifier
1861288151
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHOLOGICAL TESTING CENTER
Practice address
200 W Monroe St Ste 307
Bloomington, IL 61701-3997
Phone
(309) 909-3100
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Dr. Christopher Alan Funk, PSYDNPI 1659040467
Title
Owner/Clinical Psychologist
Phone
(770) 568-3896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

200 W Monroe St Ste 307
Bloomington, IL 61701-3997

Mailing address

1084 N Pointe Dr
Normal, IL 61761-9751
Phone (770) 568-3896

National Provider Directory

National Provider Directory

Locations

200 W Monroe St
Ste 307
Bloomington, IL 61701
Phone (309) 820-8162

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1861288151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N POINTE DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617619751",
            "telephone_number": "770-568-3896",
            "fax_number": "770-568-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MONROE ST STE 307",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013997",
            "telephone_number": "309-909-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL TESTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-568-3896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.