Individual provider Active NPI

Jennifer Knuepfer, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1205423076
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009487 Issued in IL
Practice address
4256 N Ravenswood Ave Ste 305
Chicago, IL 60613-1114
Phone
(630) 747-8611
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 071.009487 IL Primary

Addresses

Primary practice location

4256 N Ravenswood Ave Ste 305
Chicago, IL 60613-1114

Mailing address

4256 N Ravenswood Ave Ste 305
Chicago, IL 60613-1114

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

State licenses

LicenseStateTypeSpecialty
071.009487ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Knuepfer, PSYD, PLLC Clinical CurrentSince Jan 3, 2021 Accepting new patients

Locations

4255 N Honore St
Ste 305
Chicago, IL 60613
Phone (630) 747-8611

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1205423076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131114",
            "telephone_number": "630-747-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUEPFER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009487",
            "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 Dec 28, 2020; 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.