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

Individual provider Psychologist · NPI 1790888311

Dr. Jeanine R Standard, PHDLCPC is a Clinical Psychologist in Peoria, Illinois. Qualified in 2003, 23 years ago. Registered with an NPI since 2006.

Years since qualifying
23
In the registry since
2006
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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2451
Phone: (309) 692-6622
Fax: (309) 692-6952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1790888311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLCPC
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESDecember 2, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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