Active NPI
Jessica M. Brown, Psy.D., LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Skokie, IL
National Provider Identifier
1497035547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 071007035
- Legal business name
- JESSICA M. BROWN, PSY.D., LLC
- Practice address
- 4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231 - Phone
- (773) 469-1722
- NPI assigned
- Aug 22, 2011
- Last updated
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica M. Brown, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (773) 469-1722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 071007035 | IL | Primary |
Addresses
Primary practice location
4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231
Mailing address
4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231
Phone (773) 469-1722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Skokie, IL
- NPI 1386926947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1497035547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 GOLF RD",
"address_2": "SUITE 1150",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761231",
"telephone_number": "773-469-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 GOLF RD",
"address_2": "SUITE 1150",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761231",
"telephone_number": "773-469-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA M. BROWN, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "773-469-1722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": "071007035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.