Active NPI
Jeremy Allen, SSP, NCSP
- School Psychologist
- Chicago, IL
National Provider Identifier
1114816626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 3118 N Olcott Ave
Chicago, IL 60707-1134 - Phone
- (312) 796-6414
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
3118 N Olcott Ave
Chicago, IL 60707-1134
Mailing address
1101 W Van Buren St Unit 1720
Chicago, IL 60607-3263
Phone (504) 458-5756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1114816626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W VAN BUREN ST UNIT 1720",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073263",
"telephone_number": "504-458-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 N OLCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607071134",
"telephone_number": "312-796-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "SSP, NCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.