Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992074215 Individual Practitioner Male Practitioner

Jonathan William Thomas-Stagg , LICENSED PSYCHOLOGIS

Psychologist - Clinical • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Jonathan Thomas-Stagg, LICENSED PSYCHOLOGIS is a registered healthcare professional specializing in Psychologist - Clinical in Champaign, IL. Practice services are available at 701 DEVONSHIRE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 Devonshire Dr

Champaign, IL 618207337

Telephone 3096574904
Associated Practice Facility / Clinic
🏢 Kleppin And Associates Facility NPI 1093087728

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.2 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Champaign, IL (4140 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071008196

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Darini Arulpragasam , PhD

Psychologist - Clinical

NPI 1114083003

Doctor of Philosophy (Ph.D.)

Kenna Dunlap Johnson

Social Worker - Clinical

NPI 1356640700
Dr. Gene King , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1376663799

Doctor of Dental Surgery

Megan Strom , LSW

Social Worker

NPI 1396270575

Licensed Social Worker

NPI 1407770472

Master of Social Work

Michael Kleppin , LCPC, CADC

Counselor - Professional

NPI 1437443561

Licensed Clinical Professional Counselor, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 19, 2018

Registered at 701 DEVONSHIRE DR, CHAMPAIGN, IL 618207337 (Tel: 3096574904)

📍
Updated Business Mailing Address February 19, 2018

Registered at 701 DEVONSHIRE DR, C-53, CHAMPAIGN, IL 618207337 (Tel: 3096574904)

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2011

Registered at 903 DOGWOOD DR, CHAMPAIGN, IL 618214047 (Tel: 2174182184)

📍
Updated Business Mailing Address December 14, 2011

Registered at 903 DOGWOOD DR, CHAMPAIGN, IL 618214047 (Tel: 2174182184)

👤
Provider Name / Credentials Updated December 14, 2011

Recorded as JONATHAN THOMAS-STAGG, LICENSED PSYCHOLOGIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

Psychologist (License #071008196 in IL)

🟢
Initial NPI Registration & Enumeration December 14, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992074215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2011
Last Update: February 19, 2018
Sole Proprietor: Yes

Mailing Address

701 Devonshire Dr, C-53

Champaign, IL 618207337

Phone: 3096574904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.