Jennifer Davis and Michelle S. White

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JENNIFER DAVIS AND MICHELLE S. WHITE

Doing business as

Family Adolescent Child Treatment Service, LLC

Practice address

4801 W Peterson Ave Ste 401
Chicago, IL 60646-5730

Phone

(773) 282-2322

Fax

(773) 282-2853

NPI assigned

Dec 18, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer N Davis, PSY.D.NPI 1609230366

Title

Licensed Clinical Psychologist

Phone

(773) 282-2322

Specialties & licenses 1

Addresses

Other names 1

• Family Adolescent Child Treatment Service, LLC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Nicole Davis, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1609230366
  NPD Authorized official
• Michelle Sarah White, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1639306988
  NPD (past)

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1295321677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465730",
            "telephone_number": "773-282-2322",
            "fax_number": "773-282-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465730",
            "telephone_number": "773-282-2322",
            "fax_number": "773-282-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DAVIS AND MICHELLE S. WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-282-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Adolescent Child Treatment Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Weintrob, Psy.D., Inc.
• Nina Jenner
• Kyle Joseph Jennette, PH.D.
• Jennifer Ann Speech Therapy, Inc
• Jennifer Booth PSYD PLLC
• Jennifer Diamond PHD, PLLC
• Jennifer Foley Therapy
• Jennifer Gibson, PSYD
• Jennifer Harris PSYD, LLC (Jennifer Harris PsyD & Associates)
• Jennifer Hein, Inc

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.