Active NPI
Juby Clinical Services, LLC
- Adult Mental Health Clinic/Center
- Westmont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- JUBY CLINICAL SERVICES, LLC
- Practice address
- 825 N Cass Ave Ste 112
Westmont, IL 60559 - Phone
- (708) 529-9353
- NPI assigned
- Aug 14, 2017
- Last updated
- Apr 28, 2019
- 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. Bethany Joy Juby, PSY.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (708) 336-9285
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
825 N Cass Ave Ste 112
Westmont, IL 60559
Mailing address
825 N Cass Ave Ste 112
Westmont, IL 60559-6401
Other practice location 1
105 Roadrunner Dr Ste 5
Sedona, AZ 86336-3767
Phone (708) 336-9285
National Provider Directory
National Provider DirectoryLocations
105 Roadrunner Dr
Ste 5
Sedona, AZ 86336
Phone (708) 336-9285
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Westmont, IL
- NPI 1326563248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556409600000",
"number": "1730605577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N CASS AVE STE 112",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N CASS AVE STE 112",
"city": "WESTMONT",
"state": "IL",
"postal_code": "60559",
"telephone_number": "708-529-9353"
}
],
"practiceLocations": [
{
"address_1": "105 Roadrunner Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Sedona",
"state": "AZ",
"postal_code": "863363767",
"country_code": "US",
"telephone_number": "708-336-9285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JUBY CLINICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2019-04-28",
"status": "A",
"authorized_official_last_name": "JUBY",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "708-336-9285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.