JENNIFER PALEY EDIDIN


Address: 790 W Frontage Rd, Suite 209, Northfield, IL 60093-1204
Phone: 8474414433

JENNIFER PALEY EDIDIN (NPI# 1790181253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790181253
Entity Type Individual
Full Name JENNIFER PALEY EDIDIN
Credential PH.D.
Practice Address 790 W Frontage Rd
Suite 209
Northfield
IL 60093-1204
Practice Telephone 8474414433
Practice Fax Number 8474414430
Mailing Telephone 8474414433
Mailing Fax Number 8474414430
Enumeration Date 2014-11-11
Last Update Date 2014-11-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
071-008227 IL Behavioral Health & Social Service Providers

Office Location

Street Address 790 W FRONTAGE RD
SUITE 209
City NORTHFIELD
State IL
Zip Code 60093-1204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952521700 Joann Bentley Hoeppner Psychologist 790 W Frontage Rd, Northfield, IL 60093-1204 2007-04-26
1366782989 Dana Plous Lcsw LLC Social Worker 790 W Frontage Rd, Northfield, IL 60093-1204 2013-02-19
1720368392 Seniorbridge Family Companies (il), Inc In Home Supportive Care 790 W Frontage Rd, Suite 202, Northfield, IL 60093-1204 2011-08-26
1235349416 Dennis Paul Selvig Psychologist 790 W Frontage Rd, Northfield, IL 60093-1204 2007-05-23
1861602054 Personnel Strategies, LLC Psychologist 790 W Frontage Rd, Northfield, IL 60093-1204 2007-05-23

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093030132 Primary Care Psychology Associates, LLC Psychologist 465 Central Ave, Suite 201, Northfield, IL 60093-3045 2010-04-01
1457570350 Rosalie Price Psychologist 456 W Frontage Rd, Northfield, IL 60093-3034 2007-04-25
1114001690 Victoria V Lavigne Psychologist 778 W Frontage Rd, Suite 123, Northfield, IL 60093-1209 2006-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902441603 Jasmine Dominique Jones Psychologist 19041 Willow Ave, Country Club Hills, IL 60478-5740 2019-11-18
1912483074 Kristina Kochanova Psychologist 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 2018-07-12
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
1003156928 Early Autism Project, Inc. Psychologist 599 Falling Waters Way, Lindenhurst, IL 60046-1703 2013-03-01
1659610491 Alexandra M Psihogios Psychologist 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 2013-02-13
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Competitor

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City NORTHFIELD
Zip Code 60093

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Dataset Information

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.

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