Active NPI
Jennifer Alpert
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1871810481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007851
- Practice address
- 180 N Michigan Ave Ste 500
Chicago, IL 60601-7426 - Phone
- (312) 532-1225
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7144 | OH | |
| Forensic Psychologist | 103TF0200X | 071.007851 | IL | |
| Forensic Psychologist | 103TF0200X | 7144 | OH | |
| Clinical Psychologist | 103TC0700X | 071.007851 | IL | Primary |
Addresses
Primary practice location
180 N Michigan Ave Ste 500
Chicago, IL 60601-7426
Mailing address
21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122-5363
Phone (773) 574-3122
Other practice location 1
130 Yorkshire Dr
Aurora, OH 44202-6543
Phone (877) 219-8726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Yorkshire Dr
Aurora, OH 44202-6543
Phone (877) 219-8726
637 N Wells St
Chicago, IL 60654-3707
Phone (877) 219-8726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007851 | IL | MD | Forensic Psychologist |
| 7144 | OH | MD | Optometrist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1871810481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21625 CHAGRIN BLVD",
"address_2": "STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225363",
"telephone_number": "773-574-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE STE 500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017426",
"telephone_number": "312-532-1225"
}
],
"practiceLocations": [
{
"address_1": "130 Yorkshire Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "OH",
"postal_code": "442026543",
"country_code": "US",
"telephone_number": "877-219-8726",
"fax_number": "847-960-5360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALPERT",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "7144",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": "071.007851",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OH",
"license": "7144",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007851",
"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 Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.