Jin Wu PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JIN WU PSYD LLC

Practice address

850 Des Plaines Ave Apt 601
Forest Park, IL 60130-2069

Phone

(773) 673-7636

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Jin Wu, PSYD

Title

Owner

Phone

(773) 673-7636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1811462013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DES PLAINES AVE APT 601",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302069",
            "telephone_number": "773-673-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DES PLAINES AVE APT 601",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302069",
            "telephone_number": "773-673-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN WU PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-673-7636",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.