Jillian Fitzpatrick, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010224 Issued in IL

Practice address

1650 E Main St Ste 200
St Charles, IL 60174-2373

Phone

(630) 283-2880

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopeology, PLLCGroup PAC ID 6406269406, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hopeology, PLLC

  • Clinical Psychologist
  • Saint Charles, IL
  • NPI 1962017665
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Personal Growth, PLLC

  • Clinical Psychologist
  • Carol Stream, IL
  • NPI 1831594407
  NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1073145173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W120 JACK LONDON ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756540",
            "telephone_number": "630-283-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-283-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E Saint Charles Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882692",
            "country_code": "US",
            "telephone_number": "630-791-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JILLIAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rene Fink, OTR/L
• Sharon Janet Finkelstein, M.S.
• Lauren Fischer, MD
• Melissa Fish, M.D.
• James S Fister, M.D.
• Stephanie Fitzsimmons, PT, DPT
• David W Flatt, D.C.
• Kaylin Fleisher, LSW
• Danielle Janine Flikkema
• Alyssa E Flower, DPT

• Clinical Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.