Fort Health Medical Group PA
Psychiatry & Neurology, Child & Adolescent Psychiatry in Springfield, Illinois
1972342046- Practice location
- 600 S 2ND St Ste 404, Springfield, IL 62704-2542
- Phone
- 201-208-2616
- Fax
- 973-381-5773
- Last updated
- March 26, 2025
Fort Health Medical Group PA is a healthcare organization based in Springfield, IL. Fort Health Medical Group PA practices in Springfield, IL. The NPI Number for Fort Health Medical Group PA is 1972342046. The current practice location address for Fort Health Medical Group PA is 600 S 2ND St Ste 404, Springfield, IL 62704-2542 and can be reached out via phone at 201-208-2616 and via fax at 973-381-5773.
Provider Profile Details
- NPI Number
- 1972342046
- Provider Name
- Fort Health Medical Group PA
- Provider Entity Type
- Organization
- Address
- 600 S 2ND St Ste 404, Springfield, IL 62704-2542
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Organization Subpart
- No
- Authorized Official
- Traci Crosby · Credentialing Manager · 201-503-4815
- Other Names
- Fort Health Medical Group Of Il (Doing Business As)
- Provider Enumeration Date
- May 20, 2024
- Last Update Date
- March 26, 2025
- Certification Date
- March 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 S 2ND St Ste 404
Springfield, IL 62704-2542 - City
- Springfield
- State
- Illinois
- Zip
- 62704-2542
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
Provider Business Mailing Address Details
- Address
- 613 Washington Blvd # 1297
Jersey City, NJ 07310-2900 - City
- Jersey City
- State
- NJ
- Zip
- 07310-2900
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
License Information
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (4)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Child & Adolescent Psychiatry providers near Springfield, IL
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Frequently Asked Questions
What is the NPI number of Fort Health Medical Group PA?
The NPI number of Fort Health Medical Group PA is 1972342046. It was assigned on May 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Fort Health Medical Group PA?
Fort Health Medical Group PA is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X).
Where does Fort Health Medical Group PA practice?
The practice location is 600 S 2ND St Ste 404, Springfield, IL 62704-2542. The office can be reached at 201-208-2616 (phone) or 973-381-5773 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972342046 directly on the NPPES registry website.