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NICOLE DOUGLAS PSYCHOLOGY AND WELLNESS, PLLC
NPI 1245181379
Psychologist - Clinical in Carbondale, IL

Active since February 05, 2026
3412 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 506-0107(618) 457-8844 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Douglas Psychology And Wellness, Pllc NPPES

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

NICOLE DOUGLAS PSYCHOLOGY AND WELLNESS, PLLC (NPI 1245181379) is a healthcare organization registered as a clinical in Carbondale, Illinois and active in the NPI registry since February 2026. The organization lists Nicole Douglas, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1245181379
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNICOLE DOUGLAS PSYCHOLOGY AND WELLNESS, PLLC
Location Address3412 S ILLINOIS AVECarbondale, IL 62903-8362
Mailing Address202 Excalibur DrCarterville, IL 62918-3602 · (315) 447-5432
Phone(618) 506-0107
Fax(618) 457-8844
Organization SubpartNo
Authorized OfficialNicole DouglasClinical Psychologist · (315) 447-5432
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1245181379 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.
3412 S ILLINOIS AVE, Carbondale, IL 62903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. MATTHEW ERIC DENIS PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
JODIE KENNEDY L.C.S.W.
Social Worker (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 327-1304
DR. JEFFREY SAUNDERS KELLOGG PSY.D
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
DONALD ALLEN DOTY PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
DR. KARLA K. FEHR PH.D.
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
DR. PAUL MICHAEL SHAWLER PH.D.
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 539-2155
SUSAN M RAMIREZ PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 305-0988
SHAWLER PSYCHOLOGY, PLLC
Clinic/Center (Adolescent and Children Mental Health)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 539-2155

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 Nicole Douglas Psychology And Wellness, PLLC's NPI number?

The NPI number for Nicole Douglas Psychology And Wellness, PLLC is 1245181379. It was assigned to this organization in the NPPES registry on February 5, 2026.

Where is Nicole Douglas Psychology And Wellness, PLLC located?

Nicole Douglas Psychology And Wellness, PLLC is located at 3412 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 506-0107.

What is Nicole Douglas Psychology And Wellness, PLLC'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 Nicole Douglas Psychology And Wellness, PLLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.