Individual provider Active NPI

Jennifer Langille, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1255796405
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009201 Issued in IL
Practice address
29 S Webster St Ste 260
Naperville, IL 60540-4560
Phone
(815) 407-7236
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 071009201 IL Primary

Addresses

Primary practice location

29 S Webster St Ste 260
Naperville, IL 60540-4560

Mailing address

29 S Webster St Ste 260
Naperville, IL 60540-4560
Phone (815) 407-7236

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
I20160108000106 IL Practitioner - Clinical Psychologist 5991007916 Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 S Webster St
Suite 260
Naperville, IL 60540-4560
Phone (331) 330-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1255796405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 260",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404560",
            "telephone_number": "815-407-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 260",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404560",
            "telephone_number": "815-407-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGILLE",
        "first_name": "JENNIFER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.