DR. NICHOLAS EDWARD JASINSKI (NPI# 1619278140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619278140 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS EDWARD JASINSKI |
| Credential | PSY.D. |
| Practice Address |
3375 N Arlington Heights Rd Ste. J Arlington Heights IL 60004-7701 |
| Practice Telephone | 8474384530 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071007979 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3375 N ARLINGTON HEIGHTS RD STE. J |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164491817 | Frederick Wilburn Bylsma | Clinical Neuropsychologist | 3375 N Arlington Heights Rd, Suite K, Arlington Heights, IL 60004-7701 | 2006-03-15 |
| 1902265507 | Shannon Brooke Linsley | Counselor | 3375 N Arlington Heights Rd, Suite F, Arlington Heights, IL 60004-7701 | 2016-02-11 |
| 1326461211 | Ryan Bettger | Counselor | 3375 N Arlington Heights Rd, Ste F, Arlington Heights, IL 60004-7701 | 2014-01-28 |
| 1104256916 | Samina Ahmed | Counselor | 3375 N Arlington Heights Rd, Suite J, Arlington Heights, IL 60004-7701 | 2013-11-14 |
| 1760736052 | Reid A. Kehoe | Clinical Neuropsychologist | 3375 N Arlington Heights Rd, Suite K, Arlington Heights, IL 60004-7701 | 2012-11-08 |
| 1760793947 | Ann Marie Deleve | Chiropractor | 3375 N Arlington Heights Rd, Suite A, Arlington Heights, IL 60004 | 2010-06-23 |
| 1093036055 | Steven Mark Gomez | Counselor | 3375 N Arlington Heights Rd, Suite F, Arlington Heights, IL 60004-7701 | 2010-06-14 |
| 1194959791 | Arlington Health and Wellness Inc | Clinic/Center | 3375 N Arlington Heights Rd, Suite A, Arlington Heights, IL 60004-7701 | 2009-05-11 |
| 1588816599 | Melissa Chaffer | Counselor | 3375 N Arlington Heights Rd, Suite F, Arlington Heights, IL 60004-7701 | 2008-10-21 |
| 1396918934 | Ian Jeffrey Wahl | Acupuncturist | 3375 N Arlington Heights Rd, Suite A, Arlington Heights, IL 60004-7701 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134385792 | Bernadette Attolico Hudetz | Clinical Neuropsychologist | 139 W. Rand Rd, Arlington Heights, IL 60004-3982 | 2008-08-04 |
| 1497809768 | Lisa Sorensen | Clinical Neuropsychologist | 855 E Golf Rd Ste 2139, Arlington Heights, IL 60005-5225 | 2007-01-23 |
| 1891748612 | Denise A Fiducia | Clinical Neuropsychologist | 855 E Golf Rd, Suite 2139, Arlington Heights, IL 60005-5222 | 2006-05-19 |
| 1164491817 | Frederick Wilburn Bylsma | Clinical Neuropsychologist | 3375 N Arlington Heights Rd, Suite K, Arlington Heights, IL 60004-7701 | 2006-03-15 |
| 1437156999 | Peter A Dodzik | Clinical Neuropsychologist | 121 S Wilke Rd Ste 200, Arlington Heights, IL 60005-1525 | 2005-06-30 |
| 1760736052 | Reid A. Kehoe | Clinical Neuropsychologist | 3375 N Arlington Heights Rd, Suite K, Arlington Heights, IL 60004-7701 | 2012-11-08 |
| 1023323045 | Denise A Fiducia, Phd & Associates, LLC | Clinical Neuropsychologist | 855 E Golf Rd, 2139, Arlington Heights, IL 60005-5222 | 2010-08-13 |
| 1871733444 | Dirksen Center for Neuropsychology, Ltd | Clinical Neuropsychologist | 855 E Golf Rd, Suite 1127, Arlington Heights, IL 60005-5222 | 2009-02-23 |
| 1164600953 | Michelle L Rosen | Clinical Neuropsychologist | 120 W Eastman St, Suite 300e, Arlington Heights, IL 60004-5937 | 2008-02-05 |
| 1699815985 | Courtney L. Dirksen | Clinical Neuropsychologist | 855 E Golf Rd, Suite 2139, Arlington Heights, IL 60005-5222 | 2007-02-07 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
Please comment or provide details below to improve the information on DR. NICHOLAS EDWARD JASINSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.