Healthcare Provider Details

I. General information

NPI: 1871149781
Provider Name (Legal Business Name): HESSED PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 LINCOLN HWY STE J
ST CHARLES IL
60174-3575
US

IV. Provider business mailing address

1358 SANDCHERRY LN
WEST CHICAGO IL
60185-5973
US

V. Phone/Fax

Practice location:
  • Phone: 331-707-4031
  • Fax:
Mailing address:
  • Phone: 630-699-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN AARON PYYKKONEN
Title or Position: CO-FOUNDER - CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 630-699-7499