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

Individual provider Clinical Psychologist · NPI 1255393039

Theodore James Chapin, PHD is a Clinical Psychologist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
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.

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Practice location Address checks out

4940 N Weaverridge Blvd
Peoria, IL 61615-8910
Phone: (309) 689-0681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (IL)
Clinical Psychologist Taxonomy 103TC0700X (IL)

Record details

NPI number1255393039
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4940 N Weaverridge Blvd, Peoria, IL 61615-8910

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