Psychology Specialists Ltd
NPI 1053368605 · Clinical Psychologist · Bloomington, IL
Psychology Specialists Ltd is a Clinical Psychologist organization in Bloomington, IL (NPI 1053368605).
Provider details
- NPI number
- 1053368605
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Adam Russo, Vp of Operations(888) 428-7890
- License
- 180-005747 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lifestance Health
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Frequently asked questions
- What is Psychology Specialists Ltd's NPI number?
- Psychology Specialists Ltd's National Provider Identifier (NPI) is 1053368605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychology Specialists Ltd?
- Psychology Specialists Ltd is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Psychology Specialists Ltd located?
- Psychology Specialists Ltd's practice location on file with NPPES is 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075.
- What is Psychology Specialists Ltd's phone number?
- The practice phone number listed in the NPPES registry for Psychology Specialists Ltd is (888) 428-7890.
- Who is the authorized official for Psychology Specialists Ltd?
- The authorized official listed on Psychology Specialists Ltd's NPPES record is Adam Russo, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychology Specialists Ltd's NPI active?
- Yes — Psychology Specialists Ltd's NPI (1053368605) is active in the NPPES registry as of the last update on 2022-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.