Provider Demographics
NPI:1558779389
Name:AMITY PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:AMITY PSYCHOLOGICAL SERVICES, INC
Other - Org Name:APS
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TARANJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-448-8000
Mailing Address - Street 1:75 EXECUTIVE DR
Mailing Address - Street 2:443
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8137
Mailing Address - Country:US
Mailing Address - Phone:630-448-8000
Mailing Address - Fax:630-448-8001
Practice Address - Street 1:75 EXECUTIVE DR
Practice Address - Street 2:443
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8137
Practice Address - Country:US
Practice Address - Phone:630-448-8000
Practice Address - Fax:630-448-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty