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THE AUTISM PROGRAM AT SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
NPI 1477797801
Clinic/Center in Carbondale, IL

Active since April 29, 2009
625 WHAM DR -MAILCODE 6607, SOUTHERN ILLINOIS UNIVERSITY CARBONDALE, CARBONDALE, IL 62901(618) 536-2122(618) 453-7178 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Autism Program At Southern Illinois University Carbondale NPPES

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

THE AUTISM PROGRAM AT SOUTHERN ILLINOIS UNIVERSITY CARBONDALE (NPI 1477797801) is a healthcare organization registered as a clinic/center in Carbondale, Illinois and active in the NPI registry since April 2009. The organization lists Valerie Boyer, Center Director, as its authorized official.

NPPES Registry Identity

NPI1477797801
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCENTER FOR AUTISM SPECTRUM DISORDERS
Location Address625 WHAM DR -MAILCODE 6607, SOUTHERN ILLINOIS UNIVERSITY CARBONDALECarbondale, IL 62901-4313
Mailing Address625 Wham Dr, Southern Illinois University CarbondaleCarbondale, IL 62901-4313 · (618) 536-2122 · Fax (618) 453-7178
Phone(618) 536-2122
Fax(618) 453-7178
Organization SubpartNo
Authorized OfficialValerie BoyerCenter Director · (618) 453-7130
Enumeration DateApril 29, 2009
Last NPPES UpdateNovember 28, 2012
✔ NPI 1477797801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
625 WHAM DR -MAILCODE 6607, Carbondale, IL 62901
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Other Names 1

Other NameThe Autism Program At Southern Illinois University Carbondale

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 Center For Autism Spectrum Disorders's NPI number?

The NPI number for Center For Autism Spectrum Disorders is 1477797801. It was assigned to this organization in the NPPES registry on April 29, 2009. The provider is also known as The Autism Program At Southern Illinois University Carbondale.

Where is Center For Autism Spectrum Disorders located?

Center For Autism Spectrum Disorders is located at 625 Wham Dr -Mailcode 6607 Southern Illinois University Carbondale, Carbondale, IL 62901. The listed phone number is (618) 536-2122.

What is Center For Autism Spectrum Disorders's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Center For Autism Spectrum Disorders was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.