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Rockford Psychiatric Medical Services, S.C.

NPI 1821391442ActiveOrganization· Psychiatry & Neurology, Psychiatry· Rockford, IL

Psychiatry & Neurology, Psychiatry in Rockford, Illinois, registered in NPPES in December 2010. The authorized official on file is Brandy L. Marriner, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1821391442
StatusActive
Entity typeOrganization
NPI issuedDec 21, 2010
Last updated in NPPESSep 8, 2026
Certified by providerSep 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Psychiatry Primary2084P0800X036083961IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

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