Active NPI
Jazmin Lara, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1710897905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.023389
- Practice address
- 1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395 - Phone
- (773) 697-8839
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.023389 | IL | Primary |
Addresses
Primary practice location
1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395
Mailing address
3405 W 59TH PL
Chicago, IL 60629-3624
Phone (773) 799-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1710897905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 W 59TH PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606293624",
"telephone_number": "773-799-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 N CLYBOURN AVE STE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147395",
"telephone_number": "773-697-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "JAZMIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.023389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.