NPIMap

Organization Active NPI

Jal Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Orland Park, IL
National Provider Identifier
1093088676
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
071006856 Issued in IL
Legal business name
JAL PSYCHOLOGICAL SERVICES
Practice address
60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523
Phone
(708) 364-7046
Fax
(708) 364-7048
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Julie Ann Leonard, PSYDNPI 1194783589
Title
President
Phone
(708) 364-7046

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
Adult Mental Health Clinic/Center 261QM0850X 071006856 IL
Adolescent and Children Mental Health Clinic/Center 261QM0855X 071006856 IL Primary

Addresses

Primary practice location

60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523

Mailing address

60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523
Phone (708) 364-7046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1093088676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626523",
            "telephone_number": "708-364-7046",
            "fax_number": "708-364-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626523",
            "telephone_number": "708-364-7046",
            "fax_number": "708-364-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAL PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-364-7046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071006856",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "071006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.