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CHILD AND ADOLESCENT NEUROPSYCHOLOGY SERVICES OF SOUTHERN ILLINOIS, PL
NPI 1255961348
Clinic/Center - Adolescent and Children Mental Health in Carbondale, IL

Active since January 17, 2020
285 LAKE INDIAN HILLS DR, CARBONDALE, IL 62902(618) 490-1263 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl NPPES

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

CHILD AND ADOLESCENT NEUROPSYCHOLOGY SERVICES OF SOUTHERN ILLINOIS, PL (NPI 1255961348) is a healthcare organization registered as an adolescent and children mental health in Carbondale, Illinois and active in the NPI registry since January 2020. The organization lists Michelle Yvonne Kibby-faglier, Clinical Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1255961348
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHILD AND ADOLESCENT NEUROPSYCHOLOGY SERVICES OF SOUTHERN ILLINOIS, PL
Location Address285 LAKE INDIAN HILLS DRCarbondale, IL 62902-6184
Mailing Address285 Lake Indian Hills DrCarbondale, IL 62902-6184 · (618) 490-1263
Phone(618) 490-1263
Organization SubpartNo
Authorized OfficialMichelle Yvonne Kibby-faglierClinical Neuropsychologist · (618) 201-8828
Enumeration DateJanuary 17, 2020
✔ NPI 1255961348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
285 LAKE INDIAN HILLS DR, Carbondale, IL 62902
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Other Providers at the Same Location NPPES

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

DR. MICHELLE YVONNE KIBBY-FAGLIER
Clinical Neuropsychologist
285 LAKE INDIAN HILLS DR
CARBONDALE, IL 62902
Williamson County (618) 490-1263

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 Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl's NPI number?

The NPI number for Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl is 1255961348. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl located?

Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl is located at 285 Lake Indian Hills Dr, Carbondale, IL 62902. The listed phone number is (618) 490-1263.

What is Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl was last updated on January 17, 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.