Active NPI
Oil Doctor PSYD LLC
- Clinical Psychologist
- Geneva, IL
National Provider Identifier
1326898800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Stelter, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Psychologist
- Geneva, IL
- NPI 1447485800
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1184672040
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.