Macomb Mental Wellness LLC

Macomb Mental Wellness LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Macomb, IL, holding Type 2 (organization) NPI 1548863194 since 2020. The authorized official on file is Joseph Proctor, Clinical Psychologist.

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NPI	1548863194
Entity type	Organization (Type 2)
Legal business name	Macomb Mental Wellness LLC
Practice address	210 S RANDOLPH ST, Macomb, IL, 61455
Phone	2177796063
Enumeration date	2020-11-17
Last updated in NPPES	2020-11-17

Authorized official

Name	Joseph Proctor
Title	Clinical Psychologist
Phone	2177796063

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	Primary	—	—

Copy-ready billing details

Provider: Macomb Mental Wellness LLC
NPI: 1548863194
Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center))
Address: 210 S RANDOLPH ST, Macomb, IL, 61455

Providers at this address

NPI	Name	Type	Specialty	Location
1013239896	William Barnes	Individual	Clinical Social Worker	Macomb, IL
1205221439	Nicole Hernandez	Individual	Clinical Psychologist	Macomb, IL
1497287007	Joseph Proctor	Individual	Psychologist	Macomb, IL
1568084127	Diana Dobier	Individual	Psychologist	Macomb, IL

Verify this record

Cross-check NPI 1548863194 against the authoritative CMS record: view Macomb Mental Wellness LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Macomb Mental Wellness LLC located?

The practice location on file with NPPES is in Macomb, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-17.