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Southern Illinois University Carbondale Clinical Center

Psychologist in Carbondale, IL · enumerated 2015 · authorized official Holly Cormier, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174919351

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois University Carbondale Clinical Center
Parent organization Southern Illinois University Carbondale
Practice address 625 Wham Drive Room 141, Carbondale, IL, 62901
Fax (618) 453-6130
Enumeration date Apr 14, 2015
Last updated in NPPES Apr 14, 2015

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Primary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Holly Cormier
Title Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Illinois University Carbondale Clinical Center?
NPPES lists Holly Cormier (Director) as the authorized official for this organization.
What is the NPI number for Southern Illinois University Carbondale Clinical Center?
The NPI for Southern Illinois University Carbondale Clinical Center is 1174919351, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-14.