SOUTHERN IL INSTITUTE OF BEHAVIORAL HEALTH PC
NPI 1346562881
Psychologist - Clinical in Glen Carbon, IL
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 Shannon Nicole Walker, Owner/clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Il Institute Of Behavioral Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Southern Il Institute Of Behavioral Health PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ste 3, 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.
Is Southern Il Institute Of Behavioral Health PC enrolled in Medicare?
Yes. Southern Il Institute Of Behavioral Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Il Institute Of Behavioral Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Il Institute Of Behavioral Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Il Institute Of Behavioral Health PC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.
# Southern Il Institute Of Behavioral Health Pc · NPI 1346562881
Clinical organization in Glen Carbon, Illinois. Organization record, active in the CMS NPPES registry since February 25, 2010.
## Identity
- **NPI:** 1346562881 (Entity type: Organization)
- **Enumerated:** February 25, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Shannon Walker, OWNER/CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 9 JUNCTION DR W STE 3, Glen Carbon, IL 62034-2931
- **Phone:** (618) 710-4123 · **Fax:** (618) 731-4082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Mental Health Counselor (2), Clinical Psychologist (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346562881) · Data from the CMS NPPES public registry.