Active NPI
Jennifer L Schmidt, PSYD
- Clinical Psychologist
- Chicago Ridge, IL
National Provider Identifier
1801033493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007593
- Practice address
- 10288 Southwest Hwy Apt 3C
Chicago Ridge, IL 60415-1322 - Phone
- (708) 207-4391
- NPI assigned
- Jan 19, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 071007593 | IL | Primary |
Addresses
Primary practice location
10288 Southwest Hwy Apt 3C
Chicago Ridge, IL 60415-1322
Mailing address
10288 Southwest Hwy Apt 3C
Chicago Ridge, IL 60415-1322
Phone (708) 207-4391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007593 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Forest Psychological Service | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Countryside, IL
- NPI 1265487060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1801033493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10288 SOUTHWEST HWY APT 3C",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151322",
"telephone_number": "708-207-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10288 SOUTHWEST HWY APT 3C",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151322",
"telephone_number": "708-207-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.