Active NPI
John Lindley Adams, PHD, NCSP
- School Psychologist
- Bourbonnais, IL
National Provider Identifier
1033091947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2725368
- Practice address
- 293 Belmont Ave
Bourbonnais, IL 60914-2055 - Phone
- (520) 461-2540
- NPI assigned
- Jul 22, 2025
- Last updated
- Jul 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 5149128 | AZ | |
| School Psychologist | 103TS0200X | 2725368 | IL | Primary |
Addresses
Primary practice location
293 Belmont Ave
Bourbonnais, IL 60914-2055
Mailing address
293 Belmont Ave
Bourbonnais, IL 60914-2055
Phone (520) 461-2540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5149128 | AZ | MD | School Psychologist |
| 2725368 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1033091947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 BELMONT AVE",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142055",
"telephone_number": "520-461-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 BELMONT AVE",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142055",
"telephone_number": "520-461-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JOHN",
"middle_name": "LINDLEY",
"name_prefix": "Dr.",
"credential": "PHD, NCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "5149128",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2725368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.