Active NPI
Jean M Alberti, PHD
- Clinical Psychologist
- Glen Ellyn, IL
National Provider Identifier
1124173265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-002700
- Practice address
- 799 Roosevelt Rd
BLDG 3 Suite 101
Glen Ellyn, IL 60137-5908 - Phone
- (630) 858-6977
- Fax
- (630) 858-6977
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-002700 | IL | Primary |
Addresses
Primary practice location
799 Roosevelt Rd
BLDG 3 Suite 101
Glen Ellyn, IL 60137-5908
Mailing address
799 Roosevelt Rd
BLDG 3 Suite 101
Glen Ellyn, IL 60137-5908
Phone (630) 858-6977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54175000 | Other | MAGELLAN | |
| 2272051 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-002700 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124173265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 ROOSEVELT RD",
"address_2": "BLDG 3 SUITE 101",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375908",
"telephone_number": "630-858-6977",
"fax_number": "630-858-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 ROOSEVELT RD",
"address_2": "BLDG 3 SUITE 101",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375908",
"telephone_number": "630-858-6977",
"fax_number": "630-858-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTI",
"first_name": "JEAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-002700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "54175000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2272051",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.