Active NPI
Psychological Testing Center
- Psychologist
- Bloomington, IL
National Provider Identifier
1861288151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Alan Funk, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Normal, IL
- NPI 1659040467
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.