Jessica Ellen Dubnow, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009657 Issued in IL

Practice address

778 W Frontage Rd Ste 111
Northfield, IL 60093-1209

Phone

(847) 220-8659

NPI assigned

Aug 26, 2015

Last updated

Jul 13, 2022By the provider in NPPES

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

Other names 1

• Jessica Ellen Seiler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Crescent Psychology, PLLC

  • Psychologist
  • Northfield, IL
  • NPI 1841920741
  NPD Authorized official
• Illinois Behavioral Health Group, P.C.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1881392678
  NPD

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1790152635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD STE 111",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "847-220-8659",
            "fax_number": "773-347-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD STE 111",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "847-220-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBNOW",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SEILER",
            "middle_name": "ELLEN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica F Donnelly, LPC
• Faydra Shantel Dopek
• Elana R Dor, LSW, LCSW, TYPE 73
• Dr Patricia Raczka & Associates, LTD
• Dr. K. Berk, Wholistic Health Care
• Lea Dugan, MSW, LSW
• Michelle B Dumbroff, LPC
• Echoes Therapy Collective LLC
• Jennifer Paley Edidin, PH.D.
• Isabel Egan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.