Active NPI
Jennifer Diamond, PHD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1780167411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 171010185
- Practice address
- 939 W North Ave Ste 750
Chicago, IL 60642-7142 - Phone
- (262) 885-1977
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 171010185 | IL | Primary |
Addresses
Primary practice location
939 W North Ave Ste 750
Chicago, IL 60642-7142
Mailing address
910 W Armitage Ave
Chicago, IL 60614-4204
Phone (312) 802-9876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 29, 2025 through Dec 29, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Northwestern University Feinberg Medical School, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
939 W N Ave
Suite 750
Chicago, IL 60642-7142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171010185 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1780167411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W ARMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144204",
"telephone_number": "312-802-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 W NORTH AVE STE 750",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427142",
"telephone_number": "262-885-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "JENNIFER",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "171010185",
"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 Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.