Organization Active NPI

Jennifer Thompson, PSYD, LLC

  • Community/Behavioral Health Agency
  • Oak Park, IL
National Provider Identifier
1306104922
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
071.007211 Issued in IL
Legal business name
JENNIFER THOMPSON, PSYD, LLC
Practice address
137 N Oak Park Ave
Suite 230
Oak Park, IL 60301-1344
Phone
(773) 412-5983
Fax
(630) 495-0247
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Jennifer Clare Thompson, PSYDNPI 1609994276
Title
Psychologist/Owner
Phone
(773) 412-5983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 071.007211 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave
Suite 230
Oak Park, IL 60301-1344

Mailing address

137 N Oak Park Ave
Suite 230
Oak Park, IL 60301-1344
Phone (773) 412-5983

National Provider Directory

National Provider Directory

Locations

137 N Oak Park Ave
Ste 230
Oak Park, IL 60301
Phone (773) 412-5983

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1306104922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 230",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "773-412-5983",
            "fax_number": "630-495-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 230",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "773-412-5983",
            "fax_number": "630-495-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER THOMPSON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "773-412-5983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071.007211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.