Organization · Type 2 NPI

Well-America Corporation

Clinical Psychologist · Springfield, IL

NPI number 1033852603 Active

Practice location

2501 Chatham Rd
Springfield, IL 62704-4188

Fax (302) 469-2115

Mailing address

79 Ogle Rd
Old Tappan, NJ 07675-7026

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1033852603

Well-America Corporation's National Provider Identifier is 1033852603, issued on Apr 20, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Springfield, IL. The record was last updated on Oct 14, 2026.