Organization Active NPI

Jessica Loftus, PH.D.

  • Clinical Psychologist
  • Palos Heights, IL
National Provider Identifier
1104243658
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005326 Issued in IL
Legal business name
JESSICA LOFTUS, PH.D.
Practice address
7250 W College Dr
#1W
Palos Heights, IL 60463-1151
Phone
(708) 448-1306
NPI assigned
Mar 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Authorized official

Name
Jessica LoftusNPI 1093755241
Title
Licensed Clinical Psychologist
Phone
(708) 448-1306

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071-005326 IL Primary

Addresses

Primary practice location

7250 W College Dr
#1W
Palos Heights, IL 60463-1151

Mailing address

7250 W College Dr
#1W
Palos Heights, IL 60463-1151

Other identifiers 2

IdentifierTypeStateIssuer
1622293OtherILBLUE CROSS BLUE SHIELD
453170OtherILMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1104243658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 W COLLEGE DR",
            "address_2": "#1W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 W COLLEGE DR",
            "address_2": "#1W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631151",
            "telephone_number": "708-448-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LOFTUS, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-448-1306"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1622293",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "453170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.