JOSE L JIMENEZ (NPI# 1669517504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669517504 |
| Entity Type | Individual |
| Full Name | JOSE L JIMENEZ |
| Credential | PSY.D. |
| Practice Address |
1100 W Cermak Rd Suite B-305 Unit 1 Chicago IL 60608-4500 |
| Practice Telephone | 7733911541 |
| Mailing Telephone | 7733911541 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007936 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1477871226 | Jose I Jimenez | Massage Therapist | 4621 Sw 12th St, Miami, FL 33134-2714 | 2010-05-04 |
| 1578506242 | Jose Angel Jimenez | General Practice | Jardines De Toa Alta Calle 1 #55, Toa Alta, PR 00953 | 2006-06-13 |
| 1831142082 | Jose Luis Jimenez | Ophthalmology | Avenida Luis Munoz Marin Num 50, Quadrangle Medical Center Suite 203, Caguas, PR 00726-0340 | 2006-05-18 |
| 1093785685 | Jose Garcia Jimenez | Dental Hygienist | 31835 Corte San Pablo, Winchester, CA 92596 | 2006-01-25 |
| 1508851049 | Jose C Jimenez | Internal Medicine | 735 Ave Ponce De Leon Suite 809, Torre Medica Auxilio Mutuo, San Juan, PR 00917-5031 | 2005-09-12 |
| 1578557674 | Jose Luis Jimenez II | Emergency Medical Technician, Paramedic | 4 Calle Dr Pedro Cebollero, San Sebastian, PR 00685-2265 | 2005-09-02 |
| 1114572989 | Jose Jimenez | Behavioral Analyst | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2019-08-07 |
| 1245882190 | Jose Alfredo Jimenez | Rehabilitation Practitioner | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-07-11 |
| 1346701596 | Jose Carlos Jimenez | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478-3540 | 2019-03-29 |
| Street Address |
1100 W CERMAK RD SUITE B-305 UNIT 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736601 | Kimberly A Williams | Family Medicine | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2006-05-15 |
| 1396388633 | James Peek | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2019-10-18 |
| 1306363445 | Willie Hall | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-08-29 |
| 1376063628 | Vanessa Robinson Wilkes | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1568982809 | Andre D Newsome | Clinic/Center | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1821535618 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd, Suite B414, Chicago, IL 60608-4500 | 2017-01-31 |
| 1518400308 | Crystal Smith | Nurse Practitioner | 1100 W Cermak Rd, Ste. C-119, Chicago, IL 60608-4500 | 2016-11-28 |
| 1013310382 | Umeko Jones | Nurse Practitioner | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2014-10-01 |
| 1144568072 | Housecall Physicians of Illinois | Nurse Practitioner | 1100 W Cermak Rd, Suite C-500, Chicago, IL 60608-4500 | 2013-01-28 |
| 1194008425 | Kenyatta Evans-snulligan | Clinical Nurse Specialist | 1100 W Cermak Rd, Cuite C119, Chicago, IL 60608-4500 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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| 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.