Healthcare Provider Details

I. General information

NPI: 1962017665
Provider Name (Legal Business Name): HOPEOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 DUNHAM RD STE 100
SAINT CHARLES IL
60174-1400
US

IV. Provider business mailing address

473 DUNHAM RD STE 100
SAINT CHARLES IL
60174-1400
US

V. Phone/Fax

Practice location:
  • Phone: 630-283-2880
  • Fax:
Mailing address:
  • Phone: 630-283-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JILLIAN FITZPATRICK
Title or Position: OWNER
Credential: PSYD
Phone: 630-251-6921