DECATUR PSYCHOLOGICAL ASSOCIATES PC


Address: 3040 N University Ave, Suite 2, Decatur, IL 62526-1351
Phone: 2178721700

DECATUR PSYCHOLOGICAL ASSOCIATES PC (NPI# 1184732745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184732745
Entity Type Organization
Organization Name DECATUR PSYCHOLOGICAL ASSOCIATES PC
Practice Address 3040 N University Ave
Suite 2
Decatur
IL 62526-1351
Practice Telephone 2178721700
Practice Fax Number 2178721366
Mailing Telephone 2178721700
Mailing Fax Number 2178721366
Enumeration Date 2006-08-25
Last Update Date 2020-08-22
Authorized Official Name DR. DAVID RAY WENCE (PRESIDENT)
Authorized Official Telephone 2178721700
Authorized Official Credential D MIN LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor IL Behavioral Health & Social Service Providers
Y 101Y00000X Counselor IL Behavioral Health & Social Service Providers

Office Location

Street Address 3040 N UNIVERSITY AVE
SUITE 2
City DECATUR
State IL
Zip Code 62526-1351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598871667 Susan Paige Hall Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2006-08-22
1598073959 Mary Elizabeth Garrison Social Worker 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2010-09-20
1760623748 Carol Sue Wright Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2009-03-20
1437323235 Roger Eugene Daniels Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2008-04-14
1144494881 Timothy Howard Moore Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2008-04-14
1871685115 Matthew Wayne Hunt Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2006-09-28
1578654216 Patricia Marie Brown Counselor 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 2006-09-27
1831209758 David Ray Wence Counselor 3040 N University Ave, Ste 2, Decatur, IL 62526-1351 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244293 Agape Change Family Counseling & Consultation Services LLC Counselor 2128 Willamette Way, Decatur, GA 30032-6036 2020-08-04
1366082356 Morgan Tudor Counselor 433 W Pershing Rd, Decatur, IL 62526-3238 2020-01-08
1083171896 William Dale Cottrell II Counselor 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 2019-02-28
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1528538048 Beatrice Irma Richie Counselor 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 2018-11-27
1912473711 Kameshia Hawkins Counselor 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 2018-10-18
1467942706 Marla Singleton Counselor 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 2018-05-11
1306348321 Maureen P Nolan Counselor 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 2018-03-06
1619493806 Camille Hankins Counselor 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 2017-08-18
1609390319 Subrena Ann Glenn Counselor 3745 Brookside Pkwy, Decatur, GA 30034-5714 2017-08-03
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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