Theodore James Chapin, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4940 N Weaverridge Blvd
Peoria, IL 61615-8910

Phone

(309) 689-0681

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resource Management Services, Inc

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1730378761
  NPD Authorized official
• Resource Management Services, Inc.

  • Marriage & Family Therapist
  • Peoria, IL
  • NPI 1669521159

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255393039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 N WEAVERRIDGE BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616158910",
            "telephone_number": "309-689-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 N WEAVERRIDGE BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616158910",
            "telephone_number": "309-689-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Kishor Chandrasekar, M.B.B.S
• Jennifer Lorraine Chaney, APN
• Alexander Chang
• Henry Tze Hin Chang, MD
• Jay Xue Chang
• Hannah Jane Chapman, LCSW
• Karen A Chase
• Gary Lee Chatham, MA
• Umesh Chatrath, MD
• Tulika Chatterjee, MD

• Marriage & Family Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.