Jem Psychological Services, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071006309 Issued in IL

Legal business name

JEM PSYCHOLOGICAL SERVICES, PC

Practice address

4001 W Devon Ave Ste 206
Chicago, IL 60646-4537

Phone

(847) 542-1265

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Ann Krupica, PSY.D.NPI 1790791192

Title

Clinical Psychologist

Phone

(847) 542-1265

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Krupica, Psy.D Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Kathleen Ann Krupica, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1790791192
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1043474976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464537",
            "telephone_number": "847-542-1265",
            "fax_number": "847-620-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464537",
            "telephone_number": "847-542-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 W Peterson Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606466182",
            "country_code": "US",
            "telephone_number": "847-542-1265",
            "fax_number": "847-620-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEM PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "KRUPICA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-542-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071006309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Krupica, Psy.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael John Jelinek, M.D.
• Karen Vivian Jellen, N.P.
• Karen Elizabeth Jelski
• Sophia Jelsma
• Jem Pharmacy
• Dax J Jemison, LCSW
• Jen Feliciano PLLC
• Jen Lubelchek PLLC
• Jen Prazak Lactation LLC
• Jen Wellness PLLC

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.