Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banner Clinical & Performance Psychology LLC

Organization Clinical Psychologist · NPI 1578409132

Banner Clinical & Performance Psychology LLC is a Clinical Psychologist in Peoria, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2703 N Mission Rd
Peoria, IL 61604-2343
Phone: (618) 554-2664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1578409132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimes — Licensed Psychologist · (618) 554-2664
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address2703 N Mission Rd, Peoria, IL 61604-2343

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