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Active NPI 1619943784 Individual Practitioner Male Practitioner

Dr. Jack A Cole , PhD

Psychologist - Clinical • Olney, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Cole, PhD is a certified Psychologist - Clinical practicing in Olney, IL. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Cole delivers high-quality medical care to the local community at 302 S KITCHELL AVE.

Dr. Cole does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

302 S Kitchell Ave

Olney, IL 624501500

Telephone 6183956261
Associated Practice Facility / Clinic
🏢 Randall Ray Masterson Facility NPI 1659550879

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Olney, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs Matches City Avg
City Avg: 22.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Olney, IL (4140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cole (22 Years) 22 Yrs
Olney Specialty Average (22.0 Years) 22.0 Yrs

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License IN 20042023A

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

2 Associated Practitioners
NPI 1790056489

Master of Science, CSP

Cheryl Colwell , LCPC

Counselor - Mental Health

NPI 1811186919

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2007

Registered at 302 S KITCHELL AVE, OLNEY, IL 624501500 (Tel: 6183956261)

📍
Updated Business Mailing Address November 09, 2007

Registered at 302 S. KITCHELL AVENUE, OLNEY, IL 62450 (Tel: 6183956261)

👤
Provider Name / Credentials Updated November 09, 2007

Recorded as JACK COLE, PHD.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2007

Psychologist (License #20042023A in IN)

🟢
Initial NPI Registration & Enumeration February 27, 2006

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: 1619943784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2006
Last Update: November 09, 2007
Sole Proprietor: Yes

Mailing Address

302 S. Kitchell Avenue

Olney, IL 62450

Phone: 6183956261

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.