Organization
CREATIVE ALTERNATIVES FOR PSYCHOLOGICAL GROWTH
Active
Organization
CREATIVE ALTERNATIVES FOR PSYCHOLOGICAL GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY VINEHOUT PSYD (CLINICAL PSYCHOLOGIST)
(815) 245-6669
Entity
Organization
Contact information
Practice address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 245-6669
Mailing address
PO BOX 1861, WOODSTOCK, IL 60098-1861
(815) 245-6669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-006526
IL
103TC0700X
Clinical Psychologist
071-006683
IL
251S00000X
Community/Behavioral Health Agency
Primary
071-006683
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632205
BCBS
IL
01
—
600016119
MAGELLAN
IL
01
—
600244182
MAGELLAN
IL
Enumeration date
03/05/2007
Last updated
06/30/2010
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