DR. WARREN THOMAS BUSH PH.D.
NPI 1134748635
Psychologist - Clinical in Carbondale, IL

Q: What is Warren Bush's NPI number?

The NPI number for Warren Bush is 1134748635. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Warren Bush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Warren Bush was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 14, 2020

374 E GRAND AVE, CARBONDALE, IL 62901(618) 453-5371 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Warren Thomas Bush Ph.d. NPPES

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

DR. WARREN THOMAS BUSH PH.D. (NPI 1134748635) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (071.010242) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1134748635

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WARREN THOMAS BUSHCredential: PH.D.

Location Address374 E GRAND AVECarbondale, IL 62901-3962

Mailing Address234 Russell RdCarbondale, IL 62901-8119 · (347) 268-1357

Phone(618) 453-5371

Sole ProprietorYes

Enumeration DateApril 14, 2020

NPPES CertifiedApril 14, 2020

✔ NPI 1134748635 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 IL · 071.010242

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.

374 E GRAND AVE, Carbondale, IL 62901

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Other Providers at the Same Location NPPES 15

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

SOUTHERN ILLINOIS UNIVERSITY STUDENT

Pharmacy (Institutional Pharmacy)

374 E GRAND AVE
CARBONDALE, IL 62901

Jackson County (618) 453-4417

MS. NANCY ANN MCDONALD PAC

Physician Assistant

374 E GRAND AVE, STUDENT HEALTH CENTER MAILCODE 6740
CARBONDALE, IL 62901

Jackson County (618) 453-3311

LYDIA KIM

Social Worker (Clinical)

374 E GRAND AVE
CARBONDALE, IL 62901

Jackson County (618) 452-3311

JILL BETHANY WILSON FNP

Nurse Practitioner

374 E GRAND AVE
CARBONDALE, IL 62901

Jackson County (618) 453-3311

DAMILOLA ROTIMI

Case Manager/Care Coordinator

374 E GRAND AVE
CARBONDALE, IL 62901

Jackson County (618) 901-6841

DR. KENDALL MARIE WACHTER DMD

Dentist (General Practice)

374 E GRAND AVE, STUDENT HEALTH CENTER SIUC
CARBONDALE, IL 62901

Jackson County (618) 536-2421

RUSSELL EDWARD KLEIN DMD

Dentist (General Practice)

374 E GRAND AVE, STUDENT HEALTH CENTER SIVC
CARBONDALE, IL 62901

Jackson County (618) 536-2421

PAUL ERIC WINCHESTER PTA

Physical Therapy Assistant

374 E GRAND AVE
CARBONDALE, IL 62901

Jackson County (618) 453-1292

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 Warren Bush's NPI number?

The NPI number for Warren Bush is 1134748635. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Warren Bush located?

Warren Bush practices at 374 E Grand Ave, Carbondale, IL 62901. The listed phone number is (618) 453-5371.

What is Warren Bush'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 Warren Bush was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.