JSR Associates in Psychology, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

073000052 Issued in IL

Legal business name

JSR ASSOCIATES IN PSYCHOLOGY, LLP

Practice address

420 Lake Cook Rd
Suite 113
Deerfield, IL 60015-5646

Phone

(847) 405-0220

Fax

(847) 405-0215

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Cheryl Jaksa, PSY.D.

Title

Partner

Phone

(847) 405-0220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Transformations Other name

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407903909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD",
            "address_2": "SUITE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155646",
            "telephone_number": "847-405-0220",
            "fax_number": "847-405-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD",
            "address_2": "SUITE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155646",
            "telephone_number": "847-405-0220",
            "fax_number": "847-405-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSR ASSOCIATES IN PSYCHOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKSA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-405-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "073000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04972104",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformations",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Julie Helene Kahn, M.A. CCC-SLP
• Alexis Kalady, RBT
• Rachael Mary Brewer Kamps, LSW
• Jessica Mary Kandel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.