Organization Active NPI

Juby Clinical Services, LLC

  • Adult Mental Health Clinic/Center
  • Westmont, IL
National Provider Identifier
1730605577
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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.NPI 1326563248
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.