Healthcare Provider Details

I. General information

NPI: 1265369813
Provider Name (Legal Business Name): PINNEY PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E EVERGREEN AVE STE 103
MOUNT PROSPECT IL
60056-3240
US

IV. Provider business mailing address

200 E EVERGREEN AVE STE 103
MOUNT PROSPECT IL
60056-3240
US

V. Phone/Fax

Practice location:
  • Phone: 847-423-8151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ERICA PINNEY
Title or Position: OWNER
Credential: PHD
Phone: 270-318-4592