Active NPI
Dr. Jessica Ransom and Associates LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1063878833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Ransom
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007126 | IL | Primary |
| Forensic Psychologist | 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 DirectoryLocations
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": []
}
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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.