Organization Active NPI

Jessica Funk, PSYD, PC

  • Clinical Psychologist
  • McHenry, IL
National Provider Identifier
1518748953
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JESSICA FUNK, PSYD, PC
Practice address
6406 Chickaloon Dr
McHenry, IL 60050-6555
Phone
(224) 603-2119
NPI assigned
Oct 11, 2023
Last updated
Oct 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Dr. Jessica Funk, PSY.D.NPI 1891035903
Title
President/Owner
Phone
(224) 603-2119

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

6406 Chickaloon Dr
McHenry, IL 60050-6555

Mailing address

PO Box 2085
McHenry, IL 60051-9034
Phone (224) 603-2119

Other names 1

  • Jessica Funk, PsyD, PC Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1518748953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519034",
            "telephone_number": "224-603-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 CHICKALOON DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506555",
            "telephone_number": "224-603-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA FUNK, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "224-603-2119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Funk, PsyD, PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jessica Funk, PsyD, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.