Organization · Type 2 NPI

Vine Street Clinical Associates, LLC

Psychiatry Physician · Springfield, IL

NPI number 1356625966 Active

Practice location

3225 Hedley Rd
Springfield, IL 62711-6248

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800XNone listed
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809XNone listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1356625966

Vine Street Clinical Associates, LLC's National Provider Identifier is 1356625966, issued on Sep 30, 2011. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Springfield, IL. The record was last updated on Sep 30, 2011.