Individual provider Active NPI

Jacob Robert Cross, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1295351401
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
77361 Issued in CT
Practice address
1701 W Superior St
Chicago, IL 60622-5646
Phone
(312) 666-3494
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 77361 CT Primary
Psychiatry Physician 2084P0800X 125075908 IL

Addresses

Primary practice location

1701 W Superior St
Chicago, IL 60622-5646

Mailing address

1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230320000508 IL Practitioner - Psychiatry 9436575107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Family Health Center, IncGroup PAC ID 9537050422, shared by 13 NPIs, 141 clinicians

Practice addresses (Care Compare)

1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494

2750 W N Ave
Chicago, IL 60647-5247
Phone (312) 666-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago BH Hospital, LLC Psychiatry CurrentSince Feb 1, 2023 Accepting new patients
Bridges Healthcare Inc. CurrentSince Oct 12, 2024 Accepting new patients
State of Connecticut CurrentSince May 23, 2024 Accepting new patients
Erie Family Health Center Inc CurrentSince Dec 8, 2025 Accepting new patients
Chicago BH Hospital, LLC CurrentSince Feb 1, 2023 Accepting new patients
Curious Minds: Psychiatry and Psychotherapy PPLC Psychiatry Current Accepting new patients
Erie Family Health Center Inc. CurrentSince Dec 8, 2025 Accepting new patients
State of Connecticut CurrentSince May 23, 2024 Accepting new patients

Locations

165 Capitol Ave
Ste 2000
Hartford, CT 06106

949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

98 Elm St
West Haven, CT 06516
Phone (203) 933-6974

4720 N Clarendon Ave
Chicago, IL 60640
Phone (773) 313-4401

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/
  • Direct secure messaging: jcross817699@direct.ochin.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1295351401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225646",
            "telephone_number": "312-666-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225646",
            "telephone_number": "312-666-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "77361",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125075908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.