Provider Demographics
NPI:1407167059
Name:PERSONNEL ASSESSMENTS INC.
Entity Type:Organization
Organization Name:PERSONNEL ASSESSMENTS INC.
Other - Org Name:ARIZA RESOURCE CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINNCAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLINE
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-539-2620
Mailing Address - Street 1:201 E ARMY TRAIL RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2150
Mailing Address - Country:US
Mailing Address - Phone:630-539-2620
Mailing Address - Fax:847-466-7510
Practice Address - Street 1:201 E ARMY TRAIL RD
Practice Address - Street 2:SUITE 306
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2150
Practice Address - Country:US
Practice Address - Phone:630-539-2620
Practice Address - Fax:847-466-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005973101YA0400X, 103G00000X, 103TA0400X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty