Passavant Memorial Area Hospital is a Psychiatry Physician based in Springfield, IL and is specialized in Psychiatry. Passavant Memorial Area Hospital practices in Jacksonville, IL. The NPI Number for Passavant Memorial Area Hospital is 1649210444 and holds a License No. (Illinois).
The current practice location address for Passavant Memorial Area Hospital is 557 N Westgate Ave, Jacksonville, IL and can be reached out via phone at 217-245-7275 and via fax at 217-245-7427.
Location: 557 N Westgate Ave, Jacksonville, IL, 62705-1977
Provider Profile Details
NPI Number
1649210444
Provider Name
Passavant Memorial Area Hospital
Credential
Provider Entity Type
Organization
Address
557 N Westgate Ave, Jacksonville, IL, 62705-1977
Phone Number
217-245-7275
Fax Number
217-245-7427
Provider Enumeration Date
06/08/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06932018 | 01 | IL | BLUE CROSS BLUE SHIELD |
| CB3741 | 01 | IL | RAILROAD MEDICARE |
| 681484 | 01 | IL | HEALTHLINK PROVIDER # |
Provider Business Practice Location Address Details
Address
557 N Westgate Ave
City
State
Zip
62650-1156
Phone Number
217-245-7275
Fax Number
217-245-7427
Provider Business Mailing Address Details
Address
557 N Westgate Ave
City
State
Zip
62650-1156
Phone Number
217-245-7275
Fax Number
217-245-7427
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
()
Definition
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 laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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