Preston Jeremy Rice, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011390 Issued in IL

Practice address

820 Davis St Ste 455
Evanston, IL 60201-4447

Phone

(224) 714-2412

Fax

(847) 868-8022

NPI assigned

Jan 7, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1083423651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8048 N WISNER ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142435",
            "telephone_number": "404-626-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 455",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014447",
            "telephone_number": "224-714-2412",
            "fax_number": "847-868-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 1320",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023720",
            "country_code": "US",
            "telephone_number": "312-470-4302 x4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "PRESTON",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonny Rhoads, L.AC, LMT
• David Thomas Rhode, MD
• Mary Patricia Gallagher Rhodes, MD
• Mark Joseph Ricciardi, MD
• Clifford Austin Rice, MD
• Richard D. Chessick, M.D., PH.D.,P.C.
• Richard S Hopf D.D.S. P.C.
• Richard W Cohen
• Larkin Richards, NP
• Sarah Richards

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.