Individual provider Active NPI

Jocelyn Droege, PH.D.

  • Clinical Psychologist
  • St Charles, IL
National Provider Identifier
1346710605
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009873 Issued in IL
Practice address
412 S. 2ND St.
St. Charles, IL 60174-2819
Phone
(630) 492-0052
NPI assigned
Nov 29, 2018
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009873 IL Primary

Addresses

Primary practice location

412 S. 2ND St.
St. Charles, IL 60174-2819

Mailing address

412 S. 2ND St.
St. Charles, IL 60174-2819
Phone (630) 492-0052

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114001807 IL Practitioner - Clinical Psychologist 4587900436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 S 2ND St
St Charles, IL 60174-2819
Phone (630) 492-0052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vianova Psychology, PLLC Clinical CurrentSince May 3, 2023 Accepting new patients

Locations

412 S 2nd St
St Charles, IL 60174
Phone (331) 575-4858

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1346710605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S. 2ND ST.",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "601742819",
            "telephone_number": "630-492-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S. 2ND ST.",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "601742819",
            "telephone_number": "630-492-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROEGE",
        "first_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.