Individual provider Active NPI

Maja Jakovljevic, PSYD

  • Clinical Psychologist
  • Northfield, IL
National Provider Identifier
1811728322
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.022108 Issued in IL
Practice address
540 W Frontage Rd Ste 2320
Northfield, IL 60093-1226
Phone
(708) 613-0377
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5254-57 WI
Clinical Psychologist 103TC0700X 071.022108 IL Primary

Addresses

Primary practice location

540 W Frontage Rd Ste 2320
Northfield, IL 60093-1226

Mailing address

540 W Frontage Rd Ste 2320
Northfield, IL 60093-1226
Phone (708) 613-0377

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250915000788 IL Practitioner - Clinical Psychologist 3375046329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Parkside Psychological Services, LLCGroup PAC ID 7416358155, 4 clinicians

Practice addresses (Care Compare)

840 S Waukegan Rd
Suite 203
Lake Forest, IL 60045-2619
Phone (847) 420-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.022108ILMDClinical Psychologist
5254-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Psychology Group, PLLC Clinical CurrentSince Nov 7, 2025 Accepting new patients
Parkside Psychological Services, LLC Clinical CurrentSince Jul 29, 2025 Accepting new patients

Locations

840 S Waukegan Rd
Ste 203
Lake Forest, IL 60045
Phone (847) 420-5088

540 W Frontage Rd
Ste 2320
Northfield, IL 60093
Phone (708) 613-0377

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1811728322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD STE 2320",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931226",
            "telephone_number": "708-613-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD STE 2320",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931226",
            "telephone_number": "708-613-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOVLJEVIC",
        "first_name": "MAJA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5254-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.