DR. JESSICA L FUNK (NPI# 1891035903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891035903 |
| Entity Type | Individual |
| Full Name | DR. JESSICA L FUNK |
| Credential | PSYD |
| Practice Address |
1689 N Curran Rd Ste 202 Mchenry IL 60050-6542 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 8478683435 |
| Practice Fax Number | 8478595885 |
| Mailing Telephone | 8477378768 |
| Mailing Fax Number | 8478595885 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008464 | IL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071008464 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 W Grand Ave, Lake Villa, IL 60046 | 8473563322 | 8473562360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729710 | Jessica Lynne Funk | Nurse Practitioner | 9898 Genesee Ave # Amp200, La Jolla, CA 92037-1205 | 2017-09-13 |
| 1093258469 | Jessica Funk | Behavior Technician | 99-870 Iwaena St, Suite 101, Aiea, HI 96701-3278 | 2016-12-02 |
| 1265985402 | Jessica Lee Funk | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2016-07-24 |
| 1912376740 | Jessica Funk | Nurse Practitioner | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2015-09-23 |
| 1447665955 | Jessica Funk | Occupational Therapy Assistant | 377 Westridge Blvd, Greenwood, IN 46142-2137 | 2014-06-23 |
| 1295008415 | Jessica Courtney Funk | Counselor | 2275 S Main St, Corona, CA 92882-5303 | 2012-02-18 |
| Street Address |
1689 N CURRAN RD STE 202 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931729 | Marcy Schulze | Counselor | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6542 | 2018-02-09 |
| 1902322803 | Gail Wemlinger | Counselor | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6542 | 2017-08-22 |
| 1518497437 | Jennifer Anderson | Counselor | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6542 | 2017-06-13 |
| 1528416930 | Lisa Franz | Counselor | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6542 | 2016-05-25 |
| 1285003921 | Desiree Cherie Hawley | Psychologist | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6520 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606575 | Fj Psychological Services | Psychologist | 814 N Mill St Unit 5, Mchenry, IL 60050-5336 | 2017-08-23 |
| 1447575550 | Meridian Behavioral Health, PC | Psychologist | 3923 Mercy Dr Unit F, Mchenry, IL 60050-3173 | 2010-03-31 |
| 1609108703 | Jeremy Todd Bidwell | Psychologist | 3923 Mercy Dr, Suite F, Mchenry, IL 60050-3173 | 2010-02-01 |
| 1528074291 | New Beginnings Counseling | Psychologist | 814 N Mill St, Unit 5, Mchenry, IL 60050-5336 | 2006-08-01 |
| 1770048282 | Caryn P Andrews | Psychologist | 2507 N Richmond Rd, Mchenry, IL 60051-5407 | 2019-02-08 |
| 1285003921 | Desiree Cherie Hawley | Psychologist | 1689 N Curran Rd Ste 202, Mchenry, IL 60050-6520 | 2015-09-23 |
| 1538482583 | Jeff Weishaar, Psy.d., P.C. | Psychologist | 2012 Crooked Tree Ct, Mchenry, IL 60050-3993 | 2010-03-04 |
| 1659484707 | Peter Thomas | Psychologist | 814 N Mill St, Unit 5, Mchenry, IL 60050-5336 | 2006-08-15 |
| 1730197922 | Mark Pumper | Psychologist | 4100 Veteran's Pkwy, Mchenry, IL 60050-4029 | 2006-08-03 |
| 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 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 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 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 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 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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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.