Jillian Marie Wickery, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008250 Issued in IL

Practice address

422 N Northwest Hwy Unit 230
Park Ridge, IL 60068-3261

Phone

(847) 282-0232

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Jillian M. Wickery, PH.D., Psychological Services PLLC

  • Psychologist
  • Park Ridge, IL
  • NPI 1548882954
  Medicare reassignment NPD Authorized official
• Michael J. Athans, PH.D. and Associates, LTD.

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1235100140
  Medicare reassignment NPD

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1770816803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY UNIT 230",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683261",
            "telephone_number": "847-282-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY UNIT 230",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683261",
            "telephone_number": "847-282-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERY",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica E White, CRNA
• Michael White, MD
• Clifford Whitehouse, PA-C
• Tavia Whitney, PHD
• Ewelina Wiatrak, DNP, APRN, ACNP-BC
• Megan Lynn Wicklund, LCSW
• Jeanne A Wiesbrock, APN, CNS
• Herbert Wigder
• Katarzyna Wilamska, LCSW
• Marisa Wilhelm, M.S. CCC-SLP

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, 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 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.