Active NPI
Gerald Patrick Joyce, PHD
- Clinical Psychologist
- Westchester, IL
National Provider Identifier
1295817526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 712246
- Practice address
- 1601 Newcastle Avenue
Westchester, IL 60154-4446 - Phone
- (708) 865-8071
- Fax
- (708) 865-8032
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 712246 | IL | Primary |
Addresses
Primary practice location
1601 Newcastle Avenue
Westchester, IL 60154-4446
Mailing address
1601 Newcastle Avenue
Westchester, IL 60154-4446
Phone (708) 865-8071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01672552 | Other | IL | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712246 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295817526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NEWCASTLE AVENUE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601544446",
"telephone_number": "708-865-8071",
"fax_number": "708-865-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NEWCASTLE AVENUE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601544446",
"telephone_number": "708-865-8071",
"fax_number": "708-865-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "GERALD",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "712246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01672552",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.