Individual provider Active NPI

Jessica Zohrer, PSYD

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1386477198
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.011270 Issued in IL
Practice address
1415 Bond St Ste 127
Naperville, IL 60563-2769
Phone
(630) 355-9002
Fax
(630) 355-9012
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 071.011270 IL Primary

Addresses

Primary practice location

1415 Bond St Ste 127
Naperville, IL 60563-2769

Mailing address

1415 Bond St Ste 127
Naperville, IL 60563-2769

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
I20260528001754 IL Practitioner - Clinical Psychologist 3274003595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 Bond St
Suite 127
Naperville, IL 60563-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.011270ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susan B Myket PC Clinical CurrentSince Apr 13, 2026 Accepting new patients
New Day Treatment Program PC PastSince Sep 1, 2024 Accepting new patients

Locations

1415 Bond St
Ste 127
Naperville, IL 60563
Phone (630) 212-2049

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1386477198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BOND ST STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632769",
            "telephone_number": "630-355-9002",
            "fax_number": "630-355-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHRER",
        "first_name": "JESSICA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.