DR. JESSE KLEIN (NPI# 1689951519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689951519 |
| Entity Type | Individual |
| Full Name | DR. JESSE KLEIN |
| Credential | PH.D. |
| Practice Address |
639 W Diversey Pkwy Ste 207 Chicago IL 60614-1535 |
| Practice Telephone | 3125437838 |
| Mailing Telephone | 3125437838 |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071.008124 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 778 W Frontage Rd Ste 123, Northfield, IL 600931209 | (312) 543-7838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417904 | Jesse Marie Klein | Occupational Therapy Assistant | 2700 Westchester Ave Ste 300, Purchase, NY 10577-2554 | 2020-01-28 |
| 1295264265 | Jesse Klein | Physical Therapist | 54 Oakway Ctr, Eugene, OR 97401-5645 | 2017-06-05 |
| 1982815288 | Jesse J Klein | Internal Medicine | 1345 W Bay Dr, Suite 101, Largo, FL 33770-2276 | 2007-05-25 |
| Street Address |
639 W DIVERSEY PKWY STE 207 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1639357486 | Victor J Bernstein | Psychologist | 2045 W Waveland Ave, Chicago, IL 60618-4949 | 2008-02-04 |
| 1114113487 | Bradley C Stolbach | Psychologist | 6700 S. Promontory Drive, Chicago, IL 60649 | 2007-09-20 |
| 1023227469 | Thomas F. Barrett | Psychologist | 1030 N. Clark St., Suite 303, Chicago, IL 60610 | 2007-05-22 |
| 1316085954 | Carroll A Cradock | Psychologist | 411 S Sangamon St, Suite 2a, Chicago, IL 60607-3547 | 2007-02-04 |
| 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.