SOUTHERN ILLINOIS UNIVERSITY CARBONDALE CLINICAL CENTER
NPI 1174919351
Psychologist in Carbondale, IL
NPI Status: Active since April 14, 2015
Contact Information
625 WHAM DRIVE ROOM 141
CARBONDALE, IL
ZIP 62901
Phone: (618) 453-2361
Fax: (618) 453-6130
- Organization
- Psychologist
About SOUTHERN ILLINOIS UNIVERSITY CARBONDALE CLINICAL CENTER
This page provides the complete NPI Profile along with additional information for Southern Illinois University Carbondale Clinical Center, a provider established in Carbondale, Illinois operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1174919351 assigned on April 2015. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Southern Illinois University Carbondale Clinical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Holly Cormier Phd (Director)
- NPI
- 1174919351
- Provider Name
- SOUTHERN ILLINOIS UNIVERSITY CARBONDALE CLINICAL CENTER
- Entity Type
- Organization
- Location Address
- 625 WHAM DRIVE ROOM 141 CARBONDALE, IL 62901
- Location Phone
- (618) 453-2361
- Location Fax
- (618) 453-6130
- Mailing Address
- 625 WHAM DRIVE ROOM 141 CARBONDALE, IL 62901
- Mailing Phone
- (618) 453-2361
- Mailing Fax
- (618) 453-6130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-14-2015
- Last Update Date
- 04-14-2015
- Code Navigator
A psychologist like Southern Illinois University Carbondale Clinical Center studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174919351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CARBONDALE, IL 62901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174919351, enumerated as an "organization" on April 14, 2015.
The provider is located at 625 WHAM DRIVE ROOM 141 CARBONDALE, IL 62901 and the phone number is (618) 453-2361.
Psychologist with taxonomy code 103T00000X.
