Jessica Lynn Hudson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008506 Issued in IL

Practice address

5756 N Ridge Ave
Unit 9
Chicago, IL 60660-5331

Phone

(617) 480-5440

NPI assigned

Sep 15, 2011

Last updated

Sep 2, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica L Hudson PHD LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1043984081
  NPD Authorized official
• Savage & Taylor Psychological Services Medical PC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1801177795
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1518249473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE",
            "address_2": "UNIT 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605331",
            "telephone_number": "617-480-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE",
            "address_2": "UNIT 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605331",
            "telephone_number": "617-480-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth P Hudson, CNP
• Eric Hudson
• Jacqueline K Hudson
• James Vincent Hudson, D.D.S.
• Jazmine Hudson
• Karla Sue Hudson, MHS, OTR/L
• Laura Hudson, FNP-BC
• Matthew Ryan Hudson
• Michael Hudson, CACD
• Nyjha Hudson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.