Organization Active NPI

Oil Doctor PSYD LLC

  • Clinical Psychologist
  • Geneva, IL
National Provider Identifier
1326898800
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OIL DOCTOR PSYD LLC
Practice address
1462 Fargo Blvd
Geneva, IL 60134-2979
Phone
(224) 242-0672
NPI assigned
Mar 26, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Jennifer Stelter, PSY.D.NPI 1447485800
Title
Ceo/Owner
Phone
(224) 242-0672

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Point of Service 305S00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1462 Fargo Blvd
Geneva, IL 60134-2979

Mailing address

1462 Fargo Blvd
Geneva, IL 60134-2979
Phone (224) 242-0672

Other names 1

  • The Oil Doctor, Psy.D., LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729004162 IL Part B Supplier - Clinic/Group Practice 1557808342 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1326898800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 FARGO BLVD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342979",
            "telephone_number": "224-242-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 FARGO BLVD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342979",
            "telephone_number": "224-242-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIL DOCTOR PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "STELTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "224-242-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oil Doctor, Psy.D., LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Oil Doctor, Psy.D., LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.