Organization Active NPI

Jenny Wamsat, Psy.D., PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1033725676
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNY WAMSAT, PSY.D., PLLC
Practice address
1921 W Diversey Pkwy Apt 402
Chicago, IL 60614-9412
Phone
(872) 225-6391
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Dr. Jenny Marie Wamsat, PSY.D.NPI 1730792151
Title
Licensed Clinical Psychologist
Phone
(872) 225-6391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1921 W Diversey Pkwy Apt 402
Chicago, IL 60614-9412

Mailing address

1921 W Diversey Pkwy Apt 402
Chicago, IL 60614-9412
Phone (872) 225-6391

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1033725676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W DIVERSEY PKWY APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149412",
            "telephone_number": "872-225-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W DIVERSEY PKWY APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149412",
            "telephone_number": "872-225-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY WAMSAT, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WAMSAT",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "872-225-6391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.