SOUTHERN IL INSTITUTE OF BEHAVIORAL HEALTH PC
NPI 1346562881
Psychologist - Clinical in Glen Carbon, IL

Q: What is Southern Il Institute Of Behavioral Health PC's specialty?

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

Active since February 25, 2010

9 JUNCTION DR W, SUITE 6, GLEN CARBON, IL 62034(618) 710-4123(618) 731-4082 Get Directions Write a Review

NPPES record last updated: May 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Il Institute Of Behavioral Health Pc NPPES

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

SOUTHERN IL INSTITUTE OF BEHAVIORAL HEALTH PC (NPI 1346562881) is a healthcare organization registered as a clinical in Glen Carbon, Illinois and active in the NPI registry since February 2010. The organization lists Tracy Lynn Sashidharan, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1346562881

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHERN IL INSTITUTE OF BEHAVIORAL HEALTH PC

Location Address9 JUNCTION DR W, SUITE 6Glen Carbon, IL 62034-2931

Mailing AddressPo Box 98Edwardsville, IL 62025-0098 · (618) 710-4123 · Fax (618) 731-4082

Phone(618) 710-4123

Fax(618) 731-4082

Organization SubpartNo

Authorized OfficialTracy Lynn SashidharanTreasurer · (618) 710-4123

Enumeration DateFebruary 25, 2010

Last NPPES UpdateMay 19, 2012

✔ NPI 1346562881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IL · 071.007664✔ Licensed in IL · 071.007775

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 018.0007365 (IL)

9 JUNCTION DR W, Glen Carbon, IL 62034

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MOSAIC UNLIMITED INC

Social Worker (Clinical)

9 JUNCTION DR W, SUITE 2
GLEN CARBON, IL 62034

Madison County (618) 407-0900

MS. AMY LYNN MILLER LCSW

Social Worker (Clinical)

9 JUNCTION DR W, SUITE 6
GLEN CARBON, IL 62034

Madison County (618) 710-4123

MR. TIMOTHY L. ALLEN L.C.S.W.

Social Worker (Clinical)

9 JUNCTION DR W
GLEN CARBON, IL 62034

Madison County (618) 205-3561

MRS. TERESA ANN VISINTINE LCSW

Social Worker (Clinical)

9 JUNCTION DR W
GLEN CARBON, IL 62034

Madison County (618) 207-4018

DR. CHERYL L. HENNIG PSY.D.

Psychologist (Clinical)

9 JUNCTION DR W, SUITE 3
GLEN CARBON, IL 62034

Madison County (618) 972-1568

EMILY MOOSHEGIAN MSW, LCSW

Counselor

9 JUNCTION DR W, SUITE 3
GLEN CARBON, IL 62034

Madison County (618) 710-4123

RACHEL LYNN DALY LCSW

Social Worker (Clinical)

9 JUNCTION DR W
GLEN CARBON, IL 62034

Madison County (618) 806-0970

MISS LEAH RUTENBERG LCPC

Counselor (Professional)

9 JUNCTION DR W, SUITE 3
GLEN CARBON, IL 62034

Madison County (618) 710-4123

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 Southern Il Institute Of Behavioral Health PC's NPI number?

The NPI number for Southern Il Institute Of Behavioral Health PC is 1346562881. It was assigned to this organization in the NPPES registry on February 25, 2010.

Where is Southern Il Institute Of Behavioral Health PC located?

Southern Il Institute Of Behavioral Health PC is located at 9 Junction Dr W Suite 6, Glen Carbon, IL 62034. The listed phone number is (618) 710-4123.

What is Southern Il Institute Of Behavioral Health PC'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 Southern Il Institute Of Behavioral Health PC was last updated on May 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.