Individual provider Active NPI

Jennifer Marie Christopher, PSYD

  • Clinical Psychologist
  • Algonquin, IL
National Provider Identifier
1609583889
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010866 Issued in IL
Practice address
1451 Merchant Dr
Algonquin, IL 60102-5917
Phone
(847) 469-7537
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.010866 IL Primary

Addresses

Primary practice location

1451 Merchant Dr
Algonquin, IL 60102-5917

Mailing address

1182 Charter Oaks Dr
Bartlett, IL 60103-1718
Phone (630) 445-9483

Other practice location 1

820 S Damen Ave
Chicago, IL 60612-3728
Phone (312) 569-8387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchristopher@thomsonmemory.com THOMSON MEMORY CENTER LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.010866ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomson Memory Center, PLLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

1451 Merchant Dr
Algonquin, IL 60102
Phone (847) 854-8052

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1609583889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 CHARTER OAKS DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031718",
            "telephone_number": "630-445-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-469-7537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123728",
            "country_code": "US",
            "telephone_number": "312-569-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchristopher@thomsonmemory.com",
            "affiliation": "Y",
            "endpointDescription": "Thomson Memory & Attention",
            "affiliationName": "THOMSON MEMORY CENTER LLC",
            "address_1": "1451 Merchant Dr",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601025917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.