Individual provider Active NPI

Jennifer Alpert

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1871810481
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007851 Issued in IL
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

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210521001462 IL Practitioner - Clinical Psychologist 0244639342 Reassigns benefits to 1 organization
I20210811003632 OH Practitioner - Clinical Psychologist 0244639342 Reassigns benefits to 1 organization

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
Evolutis LLCGroup PAC ID 5597193607, 8 clinicians

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

LicenseStateTypeSpecialty
071.007851ILMDForensic Psychologist
7144OHMDOptometrist

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

Verify at the official NPI Registry.