Individual provider Active NPI

Jamie Tolmatsky, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1801491014
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010373 Issued in IL
Practice address
1507 W Lawrence Ave
Chicago, IL 60640-4702
Phone
(847) 373-2551
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071010373 IL Primary

Addresses

Primary practice location

1507 W Lawrence Ave
Chicago, IL 60640-4702

Mailing address

1507 W Lawrence Ave
Chicago, IL 60640-4702
Phone (773) 569-1468

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071010373ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Therapy Chicago PLLC Clinical CurrentSince Oct 23, 2022 Accepting new patients
Experience Therapy Chicago PLLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

1507 W Lawrence Ave
Chicago, IL 60640
Phone (773) 569-1426

3484 Milwaukee Ave
Northbrook, IL 60062
Phone (847) 299-5353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1801491014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404702",
            "telephone_number": "773-569-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404702",
            "telephone_number": "847-373-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMATSKY",
        "first_name": "JAMIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010373",
            "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 3, 2020; 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.