Provider Demographics
NPI:1942304258
Name:ARLINGTON ASSOCIATES IN PSYCHOLOGY
Entity Type:Organization
Organization Name:ARLINGTON ASSOCIATES IN PSYCHOLOGY
Other - Org Name:F KAY VELISEK PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:F
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:VLELISEK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-818-0461
Mailing Address - Street 1:PO BOX 1794
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60006-1794
Mailing Address - Country:US
Mailing Address - Phone:847-818-0461
Mailing Address - Fax:847-398-4967
Practice Address - Street 1:1655 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:#301 W
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-818-0461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213174Medicare ID - Type Unspecified