Organization Active NPI

Dr. Jessica Ransom and Associates LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1063878833
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007126 Issued in IL
Legal business name
DR. JESSICA RANSOM AND ASSOCIATES LLC
Practice address
4043 N Ravenswood Ave
227
Chicago, IL 60613-1155
Phone
(773) 800-1510
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Jessica RansomNPI 1225381809
Title
Clinical Psychologist/Owner
Phone
(773) 800-1510

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071007126 IL Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X

Addresses

Primary practice location

4043 N Ravenswood Ave
227
Chicago, IL 60613-1155

Mailing address

4043 N Ravenswood Ave
227
Chicago, IL 60613-1155

National Provider Directory

National Provider Directory

Locations

4043 N Ravenswood Ave
Ste 227
Chicago, IL 60613
Phone (773) 800-1510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1063878833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE",
            "address_2": "227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE",
            "address_2": "227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131155",
            "telephone_number": "773-800-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JESSICA RANSOM AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "773-800-1510",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007126",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 11, 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.

Verify at the official NPI Registry.