IndividualActive
Carl Wiley
NPI 1285961664 · Counseling Psychologist · Champaign, IL
Provider details
- NPI number
- 1285961664
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
Practice location
1801 Fox Dr
Champaign, IL 61820-7236
Phone: (217) 359-5276
Approximate (ZIP-level) locationGet directions
Mailing address
1709 W Nelson St
Chicago, IL 60657-3028
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2009-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.