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JEM PSYCHOLOGICAL SERVICES PC NPI 1043474976


NPI Information

NPI: 1043474976
Provider Name: JEM PSYCHOLOGICAL SERVICES, PC

Doing Business As: KATHLEEN KRUPICA, PSY.D

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4055 W PETERSON AVE
SUITE 201
CHICAGO, IL
ZIP 60646
Phone: (847) 542-1265
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JEM PSYCHOLOGICAL SERVICES, PC is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JEM PSYCHOLOGICAL SERVICES, PC NPI is 1043474976. The provider is registered as an organization entity type.
The provider Is Doing Business As Kathleen Krupica, Psy.d.

The provider's business location address is:

4055 W PETERSON AVE
SUITE 201
CHICAGO, IL
ZIP 60646-182
Phone: (847) 542-1265
Fax: (847) 620-0634

The provider's authorized official is Kathleen Ann Krupica .
The authorized official title is Clinical Psychologist and has the following contact phone number (847) 542-1265.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health071006309ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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