Jessica L Hudson PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JESSICA L HUDSON PHD LLC

Practice address

5756 N Ridge Ave Ste 9
Chicago, IL 60660-5332

Phone

(773) 231-7833

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Hudson, PHDNPI 1518249473

Title

Clinical Psychologist/Owner

Phone

(773) 231-7833

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jessica Lynn Hudson, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1518249473
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1043984081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605332",
            "telephone_number": "773-231-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA L HUDSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "773-231-7833",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Andrick, PLLC
• Jessica Bronson PT PLLC
• Jessica D'Angelo, PLLC
• Jessica Delmonaco Physical Therapy, PLLC
• Jessica Freilich'S Psychology Practice
• Jessica M Nguyen DMD MPH PC
• Jessica Mehta, D.D.S. P.C.
• Jessica Roeder LCSW PLLC
• Jessica Twitchell Psychotherapist
• Jessica Vargas DDS PLLC

• 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 Aug 3, 2021; 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.