WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC (NPI# 1891237434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891237434 |
| Entity Type | Organization |
| Organization Name | WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC |
| Practice Address |
118 S Seminary St Collinsville IL 62234-2634 |
| Mailing Address |
118 Seminary Street Collinsville IL 62234 |
| Practice Telephone | 6188558815 |
| Mailing Telephone | 6188558815 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | MELANIE ANN WYLIE (APN MANAGER) |
| Authorized Official Telephone | 6185930134 |
| Authorized Official Credential | RN MSN CNS APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
209005228 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | INDIVIDUAL NPI MELANIE WYLIE | 1083735443 | 01 |
| Street Address |
118 S SEMINARY ST |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341999 | Clarity Clinic Arlington Heights, LLC | Psychologist | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, IL 60005-4142 | 2017-08-14 |
| 1215330022 | Accessmydoc Inc | Psychologist | 1900 E Golf Rd, Suite 950, Schaumburg, IL 60173-5834 | 2014-10-07 |
| 1831511690 | The Chicago Integrative Center for Psychiatry LLC | Psychologist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-14 |
| 1083841076 | Aeries Healthcare of Illinois Physician Group | Psychologist | 8311 W Roosevelt Rd, Forest Park, IL 60130 | 2009-06-17 |
| 1548408586 | Meryl Lipton | Psychologist | 4711 Golf Rd, Suite 1100, Skokie, IL 60076-1224 | 2009-01-29 |
| 1558539387 | Nehal Psychiatric Group, Inc | Psychologist | 7425 Janes Ave, Suite 200, Woodridge, IL 60517-2356 | 2008-02-14 |
| 1679772479 | Miroslaw Walo, Md Sc | Psychologist | 4905 Old Orchard Ctr, Ste 428, Skokie, IL 60077-1458 | 2007-07-12 |
| 1174739122 | Gretchen L. Cromer, Md PC | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2007-05-15 |
| 1447472493 | Richard P Weber Psy.d. | Psychologist | 1105 W Park Ave, Suite 2, Libertyville, IL 60048-2567 | 2007-05-02 |
| 1992923304 | Rush North Shore Pain Center | Psychologist | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC.
| 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.