OrganizationActive
Center for Psychiatric Health
NPI 1063680239 · Psychiatry Physician · Jacksonville, IL
Provider details
- NPI number
- 1063680239
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendi Graham, Executive Assistant(217) 479-5663
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 245-9541
Fax: (217) 243-2206
Street-level locationGet directions
Mailing address
1600 W Walnut St
Jacksonville, IL 62650-1136
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 2018-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.