Jennifer Lynn Lindsey, PSY.D., CADC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008531 Issued in IL

Practice address

579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102

Phone

(847) 533-8939

Fax

(847) 907-9994

NPI assigned

Feb 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/aa9a3bec-4c8c-4fc5-b283-495def30e623/
• FHIR API: https://api.platform.athenahealth.com/380/brand/6/csg/181/fhir/r4
• FHIR API: https://epicmobile.presencehealth.org/fhirPRD/api/FHIR/R4/

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.

• Alexian Brothers Behavioral Health Hospital

  • Psychiatric Hospital
  • Hoffman Estates, IL
  • NPI 1013017839
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1689971541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E EUCLID AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045875",
            "telephone_number": "847-533-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N 1ST BANK DR STE 150",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678102",
            "telephone_number": "847-533-8939",
            "fax_number": "847-907-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1786 Moon Lake Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695029",
            "country_code": "US",
            "telephone_number": "847-755-8090",
            "fax_number": "847-843-7393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 W Higgins Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601697251",
            "country_code": "US",
            "telephone_number": "847-533-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PSY.D., CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071-008531",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "04515143",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAVIS",
            "credential": "PSY.D, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Little City Foundation
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• Clinical Psychologist in Palatine, IL
• Providers in Palatine, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.