Springfield Psychological Center, LLC
NPI 1174749881ActiveOrganization· Psychologist, Clinical· Springfield, IL
Psychologist, Clinical in Springfield, Illinois, registered in NPPES in April 2007. The authorized official on file is Melissa Fisher Paoni, PH.D., Partner.
Overview
| NPI | 1174749881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Jan 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071006429 | IL |
| Psychologist, Clinical | 103TC0700X | 071003515 | IL |
| Psychologist, Clinical | 103TC0700X | 071002838 | IL |
| Psychologist, Clinical | 103TC0700X | 071005516 | IL |
| Social Worker, Clinical | 1041C0700X | 149008476 | 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 |
|---|
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