Active NPI
Jema Consulting Corporation
- Clinical Psychologist
- Vernon Hills, IL
National Provider Identifier
1689939613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007502
- Legal business name
- JEMA CONSULTING CORPORATION
- Practice address
- 610 Williams Way
Vernon Hills, IL 60061-3252 - Phone
- (847) 984-9075
- NPI assigned
- Jul 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miroslava Fox, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (847) 984-9075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007502 | IL | Primary |
Addresses
Primary practice location
610 Williams Way
Vernon Hills, IL 60061-3252
Mailing address
610 Williams Way
Vernon Hills, IL 60061-3252
Phone (847) 984-9075
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1689939613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WILLIAMS WAY",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613252",
"telephone_number": "847-984-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WILLIAMS WAY",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613252",
"telephone_number": "847-984-9075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEMA CONSULTING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "MIROSLAVA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-984-9075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.