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Psychology Specialists Ltd

Clinical Psychologist in Bloomington, IL · enumerated 2006 · authorized official Adam Russo, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053368605

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Registry record

Entity type Organization (Type 2)
Legal business name Psychology Specialists Ltd
Other name <Unavail>
Practice address 808 S Eldorado Rd Ste 102, Bloomington, IL, 61704
Enumeration date May 28, 2006
Last updated in NPPES Sep 26, 2022

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers · License 180-005747 (IL) Secondary
101Y00000X Counselor Behavioral Health & Social Service Providers · License 180-005332 (IL) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071-005708 (IL) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071-006198 (IL) Primary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071-006980 (IL) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 149011166 (IL) Secondary

Authorized official

Name Adam Russo
Title Vp of Operations

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-09-26. Verify at npiregistry.cms.hhs.gov.
Where is Psychology Specialists Ltd located?
The practice location on file with NPPES is in Bloomington, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-26.