Organization Active NPI

Jema Consulting Corporation

  • Clinical Psychologist
  • Vernon Hills, IL
National Provider Identifier
1689939613
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007502 Issued in IL
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

Updated by the provider on Jul 5, 2012

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.