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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HERSHEL W STATHAM PH.D
NPI 1194784520
Psychologist - Clinical in Galesburg, IL

Active since March 23, 2006
311 E MAIN ST, SUITE 414, GALESBURG, IL 61401(309) 343-8315(309) 343-5164 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hershel W Statham Ph.d NPPES

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

DR. HERSHEL W STATHAM PH.D (NPI 1194784520) is an individual clinical provider in Galesburg, Illinois and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1194784520
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HERSHEL W STATHAMCredential: PH.D
Location Address311 E MAIN ST, SUITE 414Galesburg, IL 61401-4855
Mailing Address311 E Main St, Suite 414Galesburg, IL 61401-4855 · (309) 343-8315 · Fax (309) 343-5164
Phone(309) 343-8315
Fax(309) 343-5164
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194784520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
311 E MAIN ST, Galesburg, IL 61401
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Other Providers at the Same Location NPPES 10

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

SRC, LP
Home Health
311 E MAIN ST, SUITE 202
GALESBURG, IL 61401
Knox County (309) 228-4222
RACHEL MARIE JOHNSON LCPC
Counselor (Professional)
311 E MAIN ST, ST. 205
GALESBURG, IL 61401
Knox County (224) 532-1336
THE CONSULTANT
Clinic/Center (Rehabilitation, Substance Use Disorder)
311 E MAIN ST
GALESBURG, IL 61401
Knox County (309) 371-4777
STACEY WYANT LCSW
Counselor (Mental Health)
311 E MAIN ST, SUITE 420
GALESBURG, IL 61401
Knox County (563) 265-5202
CYNTHIA SIEVER IBCLC
Lactation Consultant, Non-RN
311 E MAIN ST, SUITE 416
GALESBURG, IL 61401
Knox County (309) 335-2631
THE CONSULTANT
Clinic/Center (Rehabilitation, Substance Use Disorder)
311 E MAIN ST, SUITE 317
GALESBURG, IL 61401
Knox County (309) 371-5777
APRIL M BROBSTON LPC
Counselor (Mental Health)
311 E MAIN ST, SUITE 205
GALESBURG, IL 61401
Knox County (309) 351-5255
FAMILY PLANNING SERVICE OF WESTERN IL, INC.
Nursing Care
311 E MAIN ST, SUITE 409
GALESBURG, IL 61401
Knox County (309) 343-6162

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 Hershel Statham's NPI number?

The NPI number for Hershel Statham is 1194784520. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Hershel Statham located?

Hershel Statham practices at 311 E Main St Suite 414, Galesburg, IL 61401. The listed phone number is (309) 343-8315.

What is Hershel Statham'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 Hershel Statham was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.