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

Providence Center for Psychological Services

Organization Clinical Psychologist · NPI 1699109587

Providence Center for Psychological Services is a Clinical Psychologist in Wheaton, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013

Practice location Address checks out

100 W Roosevelt Rd # B-203
Wheaton, IL 60187-5260
Phone: (630) 221-0600
Fax: (630) 221-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071006625 (IL)

Record details

NPI number1699109587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keena Peek — Owner/Psychologist · (630) 221-0600
NPI enumeratedAugust 27, 2013
Last updated in NPPESAugust 27, 2013
Mailing address100 W Roosevelt Rd # B-203, Wheaton, IL 60187-5260

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