Active NPI
Cheryl L. Hennig, PSY.D.
- Clinical Psychologist
- Glen Carbon, IL
National Provider Identifier
1497141048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004745
- Practice address
- 9 Junction Dr W
Suite 3
Glen Carbon, IL 62034-2931 - Phone
- (618) 972-1568
- Fax
- (618) 654-8231
- NPI assigned
- Apr 10, 2015
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004745 | IL | Primary |
Addresses
Primary practice location
9 Junction Dr W
Suite 3
Glen Carbon, IL 62034-2931
Mailing address
9 Junction Dr W Ste 3
Glen Carbon, IL 62034-2931
Phone (618) 972-1598
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004745 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1497141048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JUNCTION DR W STE 3",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342931",
"telephone_number": "618-972-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 JUNCTION DR W",
"address_2": "SUITE 3",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342931",
"telephone_number": "618-972-1568",
"fax_number": "618-654-8231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNIG",
"first_name": "CHERYL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
- Sydney Lauryn Hatcher, PHARMD
- John Frederick Hatton, DMD
- Health Ventures of Southern Illinois Inc (Tri Lab LLC)
- Heartland Rural Healthcare, LLC (IL SW Orthopedics)
- Vickie Marie Hendricks, PHD
- William J Hentze, DDS
- David Brian Herman, M.D.
- Eric C Hess
- Taylor Elizabeth Higgins, MS, CF-SLP
- Faith Nicole Hoelscher, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.