Individual provider Active NPI

Sheryl Reminger, PH.D.

  • Clinical Psychologist
  • Springfield, IL
National Provider Identifier
1861650525
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006898 Issued in IL
Practice address
2921 Greenbriar Dr Ste B1
Springfield, IL 62704-6440
Phone
(175) 463-1182
Fax
(217) 546-3184
NPI assigned
May 29, 2008
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006898 IL Primary

Addresses

Primary practice location

2921 Greenbriar Dr Ste B1
Springfield, IL 62704-6440

Mailing address

614 W Fayette Ave
Springfield, IL 62704-2708
Phone (217) 553-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627000827 IL Practitioner - Clinical Psychologist 3577897305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Services of Central Illinois PCGroup PAC ID 5193722452, 6 clinicians

Practice addresses (Care Compare)

2921 Greenbriar Dr
Suite B1
Springfield, IL 62704-6440
Phone (217) 546-3118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.006898ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services of Central Illinois, P.C. Clinical CurrentSince May 20, 2019 Accepting new patients

Locations

2921 Greenbriar Dr
Ste B1
Springfield, IL 62704
Phone (217) 546-3118

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1861650525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W FAYETTE AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042708",
            "telephone_number": "217-553-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR STE B1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046440",
            "telephone_number": "175-463-1182",
            "fax_number": "217-546-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINGER",
        "first_name": "SHERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.