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SOUTHERN ILLINOIS NEUROPSYCHOLOGY LLC
NPI 1861909509
Clinical Neuropsychologist in Edwardsville, IL

Active since January 03, 2018
60 S STATE ROUTE 157, EDWARDSVILLE, IL 62025(618) 391-4021 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Jan 20, 2020, May 22, 2018 (3 updates tracked since 2018).

About Southern Illinois Neuropsychology Llc NPPES

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

SOUTHERN ILLINOIS NEUROPSYCHOLOGY LLC (NPI 1861909509) is a healthcare organization registered as a clinical neuropsychologist in Edwardsville, Illinois and active in the NPI registry since January 2018. The organization lists Phillip Ruppert, Owner, as its authorized official.

NPPES Registry Identity

NPI1861909509
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSOUTHERN ILLINOIS NEUROPSYCHOLOGY LLC
Location Address60 S STATE ROUTE 157Edwardsville, IL 62025
Mailing Address1 Oak Dr Unit 352Maryville, IL 62062-7026 · (618) 391-4021
Phone(618) 391-4021
Organization SubpartNo
Authorized OfficialPhillip RuppertOwner · (618) 391-4021
Enumeration DateJanuary 3, 2018
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1861909509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071009269
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
60 S STATE ROUTE 157, Edwardsville, IL 62025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

KR COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (314) 246-9116
SARAH MAE VOLLING MS, RD, LDN
Dietitian, Registered
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (913) 314-0145
MS. MARGARET SCHONAUER CCC-SLP
Speech-Language Pathologist
60 S STATE ROUTE 157, SUITE 20
EDWARDSVILLE, IL 62025
Madison County (217) 737-0287
STACEY J. BEISEL, LCPC, P.C.
Counselor (Mental Health)
60 S STATE ROUTE 157, SUITE 18
EDWARDSVILLE, IL 62025
Madison County (618) 580-5708
MISS SOPHIA LOUISE HOWARD BCBA, LBA
Behavior Analyst
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (618) 307-0447
BRANDY LYNN SMITH LCPC
Counselor (Professional)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (000) 000-0000
WITT AND WISDOM COUNSELING PLLC
Social Worker (Clinical)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (618) 249-3251
PRO COUNSELING PLLC
Counselor (Professional)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (314) 348-6377

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 Illinois Neuropsychology LLC's NPI number?

The NPI number for Southern Illinois Neuropsychology LLC is 1861909509. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Southern Illinois Neuropsychology LLC located?

Southern Illinois Neuropsychology LLC is located at 60 S State Route 157, Edwardsville, IL 62025. The listed phone number is (618) 391-4021.

What is Southern Illinois Neuropsychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Neuropsychology LLC was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.