STACIE N PETITGOUT
NPI 1598280133
Psychologist in Cuba, IL

Active since August 04, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 4, 2017 (2 updates tracked since 2017).

About Stacie N Petitgout NPPES

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

STACIE N PETITGOUT (NPI 1598280133) is an individual psychologist in Cuba, Illinois and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1598280133
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTACIE N PETITGOUT
Location Address652 E MAIN STCuba, IL 61427-5211
Mailing Address652 E Main StCuba, IL 61427-5211 · (309) 785-8054
Sole ProprietorNo
Enumeration DateAugust 4, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1598280133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

652 E MAIN ST, Cuba, IL 61427

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
652 E MAIN ST
CUBA, IL 61427
Speech-Language Pathologist
652 E MAIN ST
CUBA, IL 61427

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 Stacie Petitgout's NPI number?

The NPI number for Stacie Petitgout is 1598280133. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Stacie Petitgout located?

Stacie Petitgout practices at 652 E Main St, Cuba, IL 61427. The listed phone number is (309) 785-8054.

What is Stacie Petitgout's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Stacie Petitgout was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.