Organization
PRAIRIE PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY H. MACDONALD PSY.D. (OWNER)
(630) 879-8164
Entity
Organization
Contact information
Practice address
335 N RIVER ST, SUITE 210, BATAVIA, IL 60510-2386
(630) 879-8164
Mailing address
335 N RIVER ST #210, BATAVIA, IL 60510
(630) 879-8164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4523298
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/08/2010
Last updated
11/30/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up