Jeff Weishaar, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007616 Issued in IL

Legal business name

JEFF WEISHAAR, PSY.D., P.C.

Practice address

1491 S Bell School Rd Ste 3
Rockford, IL 61108-1407

Phone

(866) 874-5381

Fax

(815) 261-5963

NPI assigned

Mar 4, 2010

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff R. Weishaar, PSYD

Title

President

Phone

(715) 864-9326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Patricia M Koltun, PSY.D.

  • Psychologist
  • Barrington, IL
  • NPI 1417112863
  Medicare reassignment NPD
• Jeffrey R Weishaar, PSYD

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1396913927
  Medicare reassignment NPD
• Neal Ross Bowen, PSY.D.

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1063585933
  NPD (past)
• Kevin Cubala, PSYD

  • Clinical Psychologist
  • Rolling Meadows, IL
  • NPI 1225369804
  NPD (past)
• Edna J Martin, PSY.D.

  • Clinical Neuropsychologist
  • Libertyville, IL
  • NPI 1326032780
  NPD (past)
• Megan A Smick, PH.D.

  • Clinical Neuropsychologist
  • Rockford, IL
  • NPI 1972523421
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1538482583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W379S9674 COUNTY RD S",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531191501",
            "telephone_number": "866-874-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S BELL SCHOOL RD STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081407",
            "telephone_number": "866-874-5381",
            "fax_number": "815-261-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF WEISHAAR, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "WEISHAAR",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-864-9326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Jazaerly, M.D.
• JB Superior Enterprises LLC
• JC Vision Inc (Rockford Optometry)
• Jeanne M Flesch PC
• Kelsey Michelle Jebb, PA-C
• Chianta A. Jefferson
• Valerie C Jefferson
• James J Jefko, OTR
• Suzanne Jellings, R.N.
• Melissa N Jendusa, CADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.