Dr Jennifer Rebecca Shibley, PSYD, MS - Psychologist in Peoria, IL

Dr Jennifer Rebecca Shibley, PSYD, MS is a Psychologist - Clinical based in Peoria, Illinois. Dr Jennifer Rebecca Shibley is licensed to practice in Virginia (license number 0810003876) and her current practice location is 900 Main St, Suite 780, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 672-5946.

NPI number for Dr Jennifer Rebecca Shibley is 1033390208 and her current mailing address is 900 Main St Ste 780, Suite 780, Peoria, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033390208.

Contact Information

Dr Jennifer Rebecca Shibley, PSYD, MS
900 Main St, Suite 780,
Peoria, IL 61602-1005
(309) 672-5946
(309) 672-3155



Healthcare Provider's Profile

Full NameDr Jennifer Rebecca Shibley
GenderFemale
SpecialityPsychologist - Clinical
Location900 Main St, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033390208
  • Provider Enumeration Date: 11/16/2007
  • Last Update Date: 04/30/2010

Medical Identifiers

Medical identifiers for Dr Jennifer Rebecca Shibley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033390208NPI-NPPES
210732OtherILMEDICARE
05732025OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810003876 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Rebecca Shibley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Rebecca Shibley, PSYD, MS
900 Main St Ste 780, Suite 780,
Peoria, IL 61602-1067

Ph: (309) 706-3190
Dr Jennifer Rebecca Shibley, PSYD, MS
900 Main St, Suite 780,
Peoria, IL 61602-1005

Ph: (309) 672-5946

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› Verified 7 days ago


Psychologist in Peoria, IL

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Practice Location: 900 Main St Ste 720, Peoria, IL 61602
Phone: 309-495-1640    

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