Supportive Care of Illinois PC
NPI 1861199911 · Clinical Psychologist · Marshall, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supportive Care of Illinois PC is a Clinical Psychologist organization in Marshall, IL (NPI 1861199911).
Provider details
- NPI number
- 1861199911
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dov Newmark, Ceo(718) 298-2753
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-08
Frequently asked questions
- What is Supportive Care of Illinois PC's NPI number?
- Supportive Care of Illinois PC's National Provider Identifier (NPI) is 1861199911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supportive Care of Illinois PC?
- Supportive Care of Illinois PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Supportive Care of Illinois PC located?
- Supportive Care of Illinois PC's practice location on file with NPPES is 410 N 2nd St, Marshall, IL 62441-1010.
- What is Supportive Care of Illinois PC's phone number?
- The practice phone number listed in the NPPES registry for Supportive Care of Illinois PC is (866) 708-1240.
- Does Supportive Care of Illinois PC accept Medicare?
- Supportive Care of Illinois PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supportive Care of Illinois PC?
- The authorized official listed on Supportive Care of Illinois PC's NPPES record is Dov Newmark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supportive Care of Illinois PC's NPI active?
- Yes — Supportive Care of Illinois PC's NPI (1861199911) is active in the NPPES registry as of the last update on 2023-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.