OrganizationActive
Illinois Geriatric Psychological Services P.C.
NPI 1184999310 · Clinical Psychologist · Harvard, IL
Provider details
- NPI number
- 1184999310
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Peter Koehn, President(815) 212-3209
- License
- 071007428 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
503 4th St
Harvard, IL 60033-2311
Phone: (815) 212-3209
Approximate (ZIP-level) locationGet directions
Mailing address
503 4th St
Harvard, IL 60033-2311
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.