Psychology Specialists Ltd
NPI 1053368605ActiveOrganization· Psychologist, Clinical· Bloomington, IL
Psychologist, Clinical in Bloomington, Illinois, registered in NPPES in May 2006. The authorized official on file is Adam Russo, Vp Of Operations.
Overview
| NPI | 1053368605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2006 |
| Last updated in NPPES | Sep 26, 2022 |
| Certified by provider | Sep 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071-006198 | IL |
| Counselor | 101Y00000X | 180-005747 | IL |
| Counselor | 101Y00000X | 180-005332 | IL |
| Psychologist, Clinical | 103TC0700X | 071-005708 | IL |
| Psychologist, Clinical | 103TC0700X | 071-006980 | IL |
| Social Worker, Clinical | 1041C0700X | 149011166 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical psychologists in Bloomington
- 1033132790
- 1164289930
- 1194795344
- 1447270368
- 1477860609
- 1689687709
- 1710493770
- 1164538393
- 1255829081
- 1255853396
- 1285241893
- 1649762667
All 39 clinical psychologists in Bloomington · All clinical psychologists in Illinois