MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC
NPI 1366558553
Psychologist - Clinical in Joliet, IL

NPI Status: Active since August 21, 2006

Contact Information

1415 MAPLE RD
JOLIET, IL
ZIP 60432
Phone: (815) 735-0732
Fax: (815) 722-7310

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC

This page provides the complete NPI Profile along with additional information for Midamerican Psychological Institute Pc, a provider established in Joliet, Illinois operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1366558553 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 071006470 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Daniel J Moran Phd Bcba (Owner)

NPI
1366558553
Provider Name
MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC
Entity Type
Organization
Location Address
1415 MAPLE RD JOLIET, IL 60432
Location Phone
(815) 735-0732
Location Fax
(815) 722-7310
Mailing Address
1415 MAPLE RD JOLIET, IL 60432
Mailing Phone
(815) 735-0732
Mailing Fax
(815) 722-7310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2006
Last Update Date
11-28-2012
Code Navigator

A clinical psychologist like Midamerican Psychological Institute Pc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
071006470
License State
IL
Taxonomy Description
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DANIEL J MORAN PHD BCBA

Authorized Official Title
OWNER
Authorized Official Phone
(815) 735-0732

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
209886MEDICARE ID-TYPE UNSPECIFIED (04)IL 
9932152OTHER (01)ILBCBS GROUP NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366558553
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312610516510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 5 + 1 + 6 + 5 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1366558553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003067307 LAURA JACKMAN
Individual
Psychologist (Clinical)1415 MAPLE RD
JOLIET, IL 60432
(815) 735-0732
1538465364DR. JENNIFER LYNN PATTERSON PSY.D.
Individual
Counselor (Professional)1415 MAPLE RD
JOLIET, IL 60432
(815) 341-9872
1649386830 DANIEL J MORAN PHD BCBA
Individual
Psychologist (Clinical)1415 MAPLE RD
JOLIET, IL 60432
(815) 735-0732
1942540869 MELISSA S ROWLAND PSYD
Individual
Psychologist (Clinical)1415 MAPLE RD
JOLIET, IL 60432
(815) 735-0732
1558545723MRS. NOELLE STANTON MSW, LCSW
Individual
Social Worker (Clinical)1415 MAPLE RD
JOLIET, IL 60432
(815) 735-0732
1801386834 RACHEL BRACE
Individual
Counselor (Professional)1415 MAPLE RD
JOLIET, IL 60432
(815) 735-0732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366558553, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 1415 Maple Rd Joliet, Il 60432 and the phone number is (815) 735-0732

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Aetna CVS Health, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.