Provider Demographics
NPI:1801600333
Name:PERSONAL GROWTH PSYCHIATRY PLLC
Entity type:Organization
Organization Name:PERSONAL GROWTH PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPITONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-232-0668
Mailing Address - Street 1:19 E FIRST ST STE D
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4366
Mailing Address - Country:US
Mailing Address - Phone:708-232-0668
Mailing Address - Fax:
Practice Address - Street 1:19 E FIRST ST STE D
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4366
Practice Address - Country:US
Practice Address - Phone:708-232-0668
Practice Address - Fax:708-586-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health