Individual provider Active NPI

Jennifer Lynn McKay, PSYD

  • Clinical Psychologist
  • Yorkville, IL
National Provider Identifier
1649207945
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008002 Issued in IL
Practice address
110 E Countryside Pkwy
Yorkville, IL 60560-1813
Phone
(630) 553-1600
Fax
(630) 553-7993
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 071008002 IL Primary

Addresses

Primary practice location

110 E Countryside Pkwy
Yorkville, IL 60560-1813

Mailing address

1120 E Main St
Ste. 201
St Charles, IL 60174-2287
Phone (630) 377-6613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000676 IL Practitioner - Clinical Psychologist 4880871904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Counseling Center, PCGroup PAC ID 7416959390, 26 clinicians

Practice addresses (Care Compare)

1120 E Main St
Saint Charles, IL 60174-2287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008002ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Counseling Center, PC CurrentSince Jun 1, 2011 Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

1120 E Main St
St Charles, IL 60174
Phone (630) 377-6613

1120 E Main St
Ste 201
St Charles, IL 60174
Phone (630) 377-6613

110 E Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-1600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1649207945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "address_2": "STE. 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742287",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601813",
            "telephone_number": "630-553-1600",
            "fax_number": "630-553-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.