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CHAD DRAKE
NPI 1891169629
Psychologist - Clinical in Carbondale, IL

Active since November 17, 2015
625 WHAM DR, ROOM 141, CARBONDALE, IL 62901(618) 453-2361(618) 453-6130 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chad Drake NPPES

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

CHAD DRAKE (NPI 1891169629) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (071008612) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1891169629
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCHAD DRAKE
Location Address625 WHAM DR, ROOM 141Carbondale, IL 62901-4313
Mailing Address625 Wham Dr, Room 141Carbondale, IL 62901-4313 · (618) 453-2361 · Fax (618) 453-6130
Phone(618) 453-2361
Fax(618) 453-6130
Sole ProprietorNo
Enumeration DateNovember 17, 2015
✔ NPI 1891169629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071008612
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.
625 WHAM DR, Carbondale, IL 62901
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Other Identifiers 1

Other071008612IL · Dept. Of Financial And Professional Regulation

Other Providers at the Same Location NPPES

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

SARAH KERTZ PH.D.
Psychologist (Clinical)
625 WHAM DR, ROOM 141
CARBONDALE, IL 62901
Jackson County (618) 453-2361

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 Chad Drake's NPI number?

The NPI number for Chad Drake is 1891169629. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Chad Drake located?

Chad Drake practices at 625 Wham Dr Room 141, Carbondale, IL 62901. The listed phone number is (618) 453-2361.

What is Chad Drake'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 Chad Drake was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.