Jennifer Martin, ED.S., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1842735 Issued in IL

Practice address

2031 Sheridan Rd
Highland Park, IL 60035-2401

Phone

(224) 765-3300

NPI assigned

Jan 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1497262208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 N KEATING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464903",
            "telephone_number": "773-427-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 SHERIDAN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352401",
            "telephone_number": "224-765-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1842735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE BOARD OF ED - PROFESSIONAL EDUCATOR LICENSE",
            "identifier": "1842735",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judi Ann Marino, MS CCC-SLP
• Linda Marion, OTR/L
• Mark a. Greenberger, M.D., S.C.
• Shale Marks, CADC
• Norman J Markus, MD
• Karen Anne Martin, L.C.S.W.
• Matthew Martinek, PA-C
• Carole Sims Henn Martz, CNS
• Olivia Kathryn Mason, PA-C
• Edward B. Matthew, MD

• School Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.