Individual provider Active NPI

Kathleen Chwalisz Rigney, PH.D.

  • Psychologist
  • Carbondale, IL
National Provider Identifier
1144762527
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071005073 Issued in IL
Practice address
306 West Mill Street
Neurorestorative
Carbondale, IL 62901
Phone
(618) 453-3541
Fax
(618) 453-3563
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071005073 IL Primary

Addresses

Primary practice location

306 West Mill Street
Neurorestorative
Carbondale, IL 62901

Mailing address

1125 Lincoln Drive Room 281
Southern Illinois University Department of Psychology
Carbondale, IL 62901-6502
Phone (618) 453-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071005073ILMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1144762527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LINCOLN DRIVE ROOM 281",
            "address_2": "SOUTHERN ILLINOIS UNIVERSITY DEPARTMENT OF PSYCHOLOGY",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629016502",
            "telephone_number": "618-453-3541",
            "fax_number": "618-453-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WEST MILL STREET",
            "address_2": "NEURORESTORATIVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-3541",
            "fax_number": "618-453-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGNEY",
        "first_name": "KATHLEEN",
        "middle_name": "CHWALISZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.