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

Individual provider Professional Counselor · NPI 1619396736

Michael Knobeloch, PSYD is a Clinical Psychologist in Decatur, Illinois. Qualified in 2013, 13 years ago. Practices with St Louis Behavioral Medicine Institute Inc, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

102 W Kenwood Ave Ste 120A
Decatur, IL 62526-4368
Phone: (309) 706-3190
Fax: (309) 588-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071009106 (IL)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1619396736
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESJanuary 25, 2016
Mailing addressPo Box 604, Bloomington, IL 61702-0604

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice St. Louis Behavioral Medicine Institute Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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