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Hershel Statham, PH.D
NPI 1194784520 · Clinical Psychologist · Galesburg, IL
Hershel Statham, PH.D is a Clinical Psychologist provider in Galesburg, IL (NPI 1194784520).
Provider details
- NPI number
- 1194784520
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% 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
311 E Main St
Suite 414
Galesburg, IL 61401-4855
Phone: (309) 343-8315
Fax: (309) 343-5164
Street-level locationGet directions
Mailing address
311 E Main St
Galesburg, IL 61401-4855
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Hershel Statham's NPI number?
- Hershel Statham's National Provider Identifier (NPI) is 1194784520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hershel Statham's specialty?
- Hershel Statham is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Hershel Statham located?
- Hershel Statham's practice location on file with NPPES is 311 E Main St, Galesburg, IL 61401-4855.
- What is Hershel Statham's phone number?
- The practice phone number listed in the NPPES registry for Hershel Statham is (309) 343-8315.
- Is Hershel Statham's NPI active?
- Yes — Hershel Statham's NPI (1194784520) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.