Jamie Wernsman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007998 Issued in IL

Practice address

7820 N University St Ste 204
Peoria, IL 61614-8302

Phone

(309) 863-2593

Fax

(309) 966-0861

NPI assigned

Apr 1, 2008

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

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Wellness, LLCGroup PAC ID 4183997679, 4 clinicians

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.

• Phoenix Wellness, LLC

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1538608690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1780856591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 N UNIVERSITY ST STE 204",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148302",
            "telephone_number": "309-863-2593",
            "fax_number": "309-966-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 N UNIVERSITY ST STE 204",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148302",
            "telephone_number": "309-863-2593",
            "fax_number": "309-966-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNSMAN",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Wells, SPEECH/LANG PATH
• Taylor Marie Wells, MD
• Maureen Welty, DNP
• Abigail V. Welu, DO
• Wendy'S Eyeglass Shack, Inc.
• Carly Nicole Wertz, CARLY
• Genevieve Elizabeth Wessel, AGACNP, APN, CNP
• West Central Allergy Center S.C.
• Roberta West, LCSW
• Victoria Langfahl West, LCPC CADC

• Clinical Psychologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.