Active NPI
Jessica I Strang, PSY.D.
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1053628909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007937
- Practice address
- 636 Church St
Suite 615-B
Evanston, IL 60201-4508 - Phone
- (773) 983-5672
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007937 | IL | Primary |
Addresses
Primary practice location
636 Church St
Suite 615-B
Evanston, IL 60201-4508
Mailing address
636 Church St
Suite 615-B
Evanston, IL 60201-4508
Phone (773) 983-5672
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007937 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Castillo for Personal and Family Wellbeing, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1598942484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1053628909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 615-B",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "773-983-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 615-B",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "773-983-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRANG",
"first_name": "JESSICA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.