Southern Illinois University Carbondale Clinical Center
NPI 1174919351 · Psychologist · Carbondale, IL
Provider details
- NPI number
- 1174919351
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Southern Illinois University Carbondale
- Organization subpart
- Yes
- Authorized official
- Holly Cormier, Director(618) 453-2361
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2015-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.