Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack A Cole, PHD

Individual provider Clinical Psychologist · NPI 1619943784

Dr. Jack A Cole, PHD is a Clinical Psychologist in Olney, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Years since qualifying
22
Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

302 S Kitchell Ave
Olney, IL 62450-1500
Phone: (618) 395-6261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 20042023A (IN)

Record details

NPI number1619943784
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 27, 2006
Last updated in NPPESNovember 9, 2007
Mailing address302 S. Kitchell Avenue, Olney, IL 62450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Olney