Individual provider Active NPI

Jill M Levinsky, PSY.D.

  • Clinical Psychologist
  • St Charles, IL
National Provider Identifier
1205134822
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007552 Issued in IL
Practice address
1121 E Main St
#405
St Charles, IL 60174-2205
Phone
(331) 222-7915
NPI assigned
Mar 6, 2011
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071007552 IL Primary

Addresses

Primary practice location

1121 E Main St
#405
St Charles, IL 60174-2205

Mailing address

1121 E Main St
#405
St Charles, IL 60174-2205
Phone (331) 222-7915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000935 IL Practitioner - Clinical Psychologist 1951538289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1434 E Main St
Suite B
St Charles, IL 60174-2374
Phone 33122279152374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071007552ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Levinsky Psy.D. P.C. Clinical CurrentSince Oct 30, 2013 Accepting new patients

Locations

1121 E Main St
Ste 405
St Charles, IL 60174
Phone (331) 222-7915

1434 E Main St
Ste B
St Charles, IL 60174
Phone (331) 222-7915

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1205134822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MAIN ST",
            "address_2": "#405",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742205",
            "telephone_number": "331-222-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MAIN ST",
            "address_2": "#405",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742205",
            "telephone_number": "331-222-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSKY",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-06",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.