NPIMap

Organization Active NPI

Uiuc Psychological Services Center

  • Clinic/Center
  • Champaign, IL
National Provider Identifier
1982845517
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UIUC PSYCHOLOGICAL SERVICES CENTER
Practice address
505 E Green St
3Rd Floor
Champaign, IL 61820-5723
Phone
(217) 333-0041
Fax
(217) 333-0064
NPI assigned
Mar 11, 2009
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Elaine Shpungin, PH.D.
Title
Director
Phone
(217) 333-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

505 E Green St
3Rd Floor
Champaign, IL 61820-5723

Mailing address

505 E Green St
3Rd Floor
Champaign, IL 61820-5723
Phone (217) 333-0041

National Provider Directory

National Provider Directory
Tax ID family
Uic Dept of Pathology122 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

505 E Green St
Ste 3
Champaign, IL 61820
Phone (217) 333-0041

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982845517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GREEN ST",
            "address_2": "3RD FLOOR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205723",
            "telephone_number": "217-333-0041",
            "fax_number": "217-333-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GREEN ST",
            "address_2": "3RD FLOOR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205723",
            "telephone_number": "217-333-0041",
            "fax_number": "217-333-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UIUC PSYCHOLOGICAL SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SHPUNGIN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-333-0041",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.