Individual provider Active NPI

Jennifer Rose Frankowicz

  • School Psychologist
  • Bolingbrook, IL
National Provider Identifier
1861042947
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2008675 Issued in IL
Practice address
777 Falcon Ridge Way
Bolingbrook, IL 60440-2200
Phone
(630) 972-9240
Fax
(630) 739-8521
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2008675 IL Primary

Addresses

Primary practice location

777 Falcon Ridge Way
Bolingbrook, IL 60440-2200

Mailing address

11117 Heritage Dr Apt 3C
Palos Hills, IL 60465-3126
Phone (708) 341-0819

Other names 1

  • Jennifer R Schultz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schultzjr@vvsd.org

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
2008675ILMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1861042947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 HERITAGE DR APT 3C",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604653126",
            "telephone_number": "708-341-0819",
            "fax_number": "630-739-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FALCON RIDGE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402200",
            "telephone_number": "630-972-9240",
            "fax_number": "630-739-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKOWICZ",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2008675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schultzjr@vvsd.org",
            "affiliation": "N",
            "address_1": "777 Falcon Ridge Way",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604402200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHULTZ",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.