NPIMap

Organization Active NPI

Jlspencer LTD

  • Clinical Psychologist
  • Crest Hill, IL
National Provider Identifier
1295020568
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006284 Issued in IL
Legal business name
JLSPENCER LTD
Practice address
16001 Palm Dr
Crest Hill, IL 60403-0780
Phone
(815) 834-0585
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Jennifer A Spencer, PSY.D.
Title
Owner
Phone
(630) 409-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071006284 IL Primary

Addresses

Primary practice location

16001 Palm Dr
Crest Hill, IL 60403-0780

Mailing address

16001 Palm Dr
Crest Hill, IL 60403-0780
Phone (815) 834-0585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1295020568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 PALM DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030780",
            "telephone_number": "815-834-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 PALM DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030780",
            "telephone_number": "815-834-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLSPENCER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-409-9700",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.