Anna Jasiewicz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009555 Issued in IL

Practice address

11800 S 75TH Ave Ste 300
Palos Heights, IL 60463-1064

Phone

(708) 671-8440

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lombard Neuropsychological Center

  • Clinical Psychologist
  • Lombard, IL
  • NPI 1366116923
  NPD Authorized official
• Mira Neuro Behavioral Health Care, LLC

  • Psychiatric Hospital
  • Tinley Park, IL
  • NPI 1518615749
  NPD (past)
• Miracare Neuro Behavioral Health, PC

  dba Palos Behavioral Health Professionals

  • Psychologist
  • Palos Heights, IL
  • NPI 1649329251

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1730619578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 S FINLEY RD APT 1111",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484849",
            "telephone_number": "360-589-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE STE 300",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631064",
            "telephone_number": "708-671-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIEWICZ",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Schulte DDS
• Lee Merle Jameson, D.D.S.
• Gwendolyn A. Janecek, APRN, CRNA
• Hyeju Jang, ANP-BC
• Janis a Gumpel MD SC
• Nancy Javior, OTR
• Jeanette K. Fefles LTD. (Fefles Family Chiropractic Inc.)
• Bethany Mary Jengic, MD
• Christina A Jensen
• Jessica Loftus, PH.D.

• Clinical Psychologist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.