Organization
PSYCYNERGY PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L WEEMS PSY.D. (PRESIDENT/CEO/SENIOR PARTNER)
(773) 671-0466
Entity
Organization
Contact information
Practice address
369 E SIBLEY BLVD, SUITE A, HARVEY, IL 60426-2530
(888) 205-5532
Mailing address
1337 S INDIANA PKWY, CHICAGO, IL 60605-2619
(773) 671-0466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180004026
IL
101YM0800X
Mental Health Counselor
180004026
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
071006437
IL
103TA0700X
Adult Development & Aging Psychologist
071006437
IL
103TC0700X
Clinical Psychologist
071006437
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071006437
IL
103TF0200X
Forensic Psychologist
071006437
IL
106H00000X
Marriage & Family Therapist
180004026
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
14013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14013
—
IL
Enumeration date
05/21/2012
Last updated
05/09/2017
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