Jonathan Smith, PSYD is a
Psychologist - Clinical based in Chicago, Illinois. Jonathan Smith is licensed to practice in Illinois (license number 071.009490) and his current practice location is
5412 N Clark St Ste 220, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 985-8746.
NPI number for Jonathan Smith is 1124403100 and his current mailing address is 5412 N Clark St Ste 220, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124403100.
Healthcare Provider's Profile
Full Name | Jonathan Smith |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 5412 N Clark St Ste 220, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124403100
- Provider Enumeration Date: 07/20/2015
- Last Update Date: 10/01/2020
Medical Identifiers
Medical identifiers for Jonathan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124403100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 178.010187 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.009490 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Smith, PSYD 5412 N Clark St Ste 220, Chicago, IL 60640-1272 Ph: (773) 985-8746 | Jonathan Smith, PSYD 5412 N Clark St Ste 220, Chicago, IL 60640-1272 Ph: (773) 985-8746 |
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