JG Health & Wellness Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JG HEALTH & WELLNESS INC

Practice address

55 E Pearson St
Chicago, IL 60611-2535

Phone

(847) 903-9611

NPI assigned

Jan 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeana Lucarelli, PSY D

Title

President

Phone

(847) 903-9611

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1013415900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W HALF DAY RD STE 326",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896547",
            "telephone_number": "847-903-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E PEARSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112535",
            "telephone_number": "847-903-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "LUCARELLI",
        "authorized_official_first_name": "JEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-903-9611",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praveen Jeyaseelan, MD
• Kimberly Jezek-Tisch
• Sarah Jean Jeziorski
• Jfa Medical Group SC
• JFK Enterprise, LLC
• JG Therapy PLLC
• JH Therapy Services
• Aandrei Jivendra Jha, M.D
• Ashish Jha, MD
• Poonam Jha, M.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.