Active NPI
Jennifer Palmer PSYD and Associates LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1770109720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JENNIFER PALMER PSYD AND ASSOCIATES LLC
- Practice address
- 6160 N Cicero Ave Ste 302
Chicago, IL 60646-4331 - Phone
- (312) 736-2926
- NPI assigned
- Jun 24, 2020
- 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. Jennifer Palmer, PSYD
- Title
- Clinical Psychologist / Owner
- Phone
- (312) 723-2926
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
6160 N Cicero Ave Ste 302
Chicago, IL 60646-4331
Mailing address
1628 W Sherwin Ave Apt 502
Chicago, IL 60626-1983
Phone (312) 736-2926
Other practice location 1
1628 W Sherwin Ave Apt 502
Chicago, IL 60626-1983
Phone (312) 736-2926
National Provider Directory
National Provider DirectoryLocations
6160 N Cicero Ave
Ste 302
Chicago, IL 60646
Phone (312) 736-2926
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Park Ridge, IL
- NPI 1053706150
-
- Clinical Psychologist
- Chicago, IL
- NPI 1306236856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1770109720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 W SHERWIN AVE APT 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261983",
"telephone_number": "312-736-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 N CICERO AVE STE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464331",
"telephone_number": "312-736-2926"
}
],
"practiceLocations": [
{
"address_1": "1628 W Sherwin Ave Apt 502",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606261983",
"country_code": "US",
"telephone_number": "312-736-2926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JENNIFER PALMER PSYD AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-24",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST / OWNER",
"authorized_official_telephone_number": "312-723-2926",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"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 Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.