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DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S.
NPI 1033390208
Psychologist - Clinical in Peoria, IL

Active since November 16, 2007
900 MAIN ST, SUITE 780, PEORIA, IL 61602(309) 672-5946(309) 672-3155 Get Directions Write a Review

NPPES record last updated: April 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Rebecca Shibley Psy.d., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S. (NPI 1033390208) is an individual clinical provider in Peoria, Illinois, licensed in Virginia (0810003876) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1033390208
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER REBECCA SHIBLEYCredential: PSY.D., M.S.
Location Address900 MAIN ST, SUITE 780Peoria, IL 61602-1005
Mailing Address900 Main St Ste 780, Suite 780Peoria, IL 61602-1067 · (309) 706-3190 · Fax (309) 588-4115
Phone(309) 672-5946
Fax(309) 672-3155
Sole ProprietorNo
Enumeration DateNovember 16, 2007
Last NPPES UpdateApril 30, 2010
✔ NPI 1033390208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003876
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
900 MAIN ST, Peoria, IL 61602
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Other Identifiers 2

Other05732025IL · Blue Cross Blue Shield
Other210732IL · Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN MARGARET KYLE M.D.
Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
CATHERINE J KILBOURN LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
RYAN FAIRCHILD
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
CRYSTAL CORZATT PT
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
LYNNE M JALOVEC, MD, SC
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Peoria County (309) 672-4174
MID ILLINI SURGICAL ASSOCIATES SC
Surgery
900 MAIN ST, SUITE 530
PEORIA, IL 61602
Peoria County (309) 672-5975
MICHAEL D. CASHMAN, M.D., S.C.
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602
Peoria County (309) 671-8313
MR. CHRISTOPHER P HOLLY LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shibley's NPI number?

The NPI number for Jennifer Shibley is 1033390208. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Jennifer Shibley located?

Jennifer Shibley practices at 900 Main St Suite 780, Peoria, IL 61602. The listed phone number is (309) 672-5946.

What is Jennifer Shibley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Shibley was last updated on April 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.