NPIMap

Organization Active NPI

Jennifer E. Manfre, LTD

  • Clinical Psychologist
  • Woodridge, IL
National Provider Identifier
1447793591
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007476 Issued in IL
Legal business name
JENNIFER E. MANFRE, LTD
Practice address
6440 Main St Ste 200
Woodridge, IL 60517-1284
Phone
(630) 968-0792
Fax
(630) 477-0201
NPI assigned
Nov 22, 2016
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Jennifer Manfre, PSYDNPI 1912167636
Title
Psychologist, Owner
Phone
(630) 968-0792

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X 071007476 IL Primary
Clinical Social Worker 1041C0700X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

6440 Main St Ste 200
Woodridge, IL 60517-1284

Mailing address

6440 Main St Ste 200
Woodridge, IL 60517-1284
Phone (630) 968-0792

Other practice location 1

17W662 Butterfield Rd Ste 301
Oakbrook Terrace, IL 60181-4006
Phone (630) 968-0792

National Provider Directory

National Provider Directory

Locations

17W662 Butterfield Rd
Ste 301
Oakbrook Terrace, IL 60181
Phone (630) 968-0792

3550 Hobson Rd
Ste 404
Woodridge, IL 60517

6440 Main St
Ste 200
Woodridge, IL 60517
Phone (630) 968-0792

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1447793591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171284",
            "telephone_number": "630-968-0792",
            "fax_number": "630-477-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171284",
            "telephone_number": "630-968-0792",
            "fax_number": "630-477-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W662 Butterfield Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814006",
            "country_code": "US",
            "telephone_number": "630-968-0792",
            "fax_number": "630-477-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER E. MANFRE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MANFRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "630-968-0792",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007476",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.