Active NPI
Jessica Hinman, BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1922452101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32172
- Practice address
- 1640 W Roosevelt Rd # Dhsp103
Chicago, IL 60608-1316 - Phone
- (312) 413-1871
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32172 | Primary |
Addresses
Primary practice location
1640 W Roosevelt Rd # Dhsp103
Chicago, IL 60608-1316
Mailing address
1640 W Roosevelt Rd # Dhsp103
Chicago, IL 60608-1316
Phone (312) 413-1871
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Learning LLC | Behavior Analyst | Past | Accepting new patients |
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": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1922452101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 W ROOSEVELT RD # DHSP103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081316",
"telephone_number": "312-413-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 W ROOSEVELT RD # DHSP103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081316",
"telephone_number": "312-413-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINMAN",
"first_name": "JESSICA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-32172",
"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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.