Jerry S Schecter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

9150 Crawford Ave
#105
Skokie, IL 60076-1700

Phone

(847) 679-5243

Fax

(847) 753-9592

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1386618668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 S SEMINOLE DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267306",
            "telephone_number": "847-679-5243",
            "fax_number": "847-753-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE",
            "address_2": "#105",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "847-679-5243",
            "fax_number": "847-753-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECTER",
        "first_name": "JERRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1031731",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL TYPE 73 CERT.",
            "identifier": "1031731",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001672907",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hansa T Sawlani, MD
• Lauren Sayre
• Kristin Scanlon, LMFT
• Amanda M. Schallman, PA-C
• Scheck & Siress Prosthetics, Inc
• Charles Harold Schikman, M.D.
• Nancy Schindler, MD
• Debra Lyn Schlossberg, MD
• Richard A. Schmidt, D.D.S.
• Allison Dyan Schneider, M.S.

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.