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JONATHAN SMITH PSYD
NPI 1124403100
Psychologist - Clinical in Chicago, IL

Active since July 20, 2015
5412 N CLARK ST STE 220, CHICAGO, IL 60640(773) 985-8746 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2020, Feb 8, 2017 (2 updates tracked since 2017).

About Jonathan Smith Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN SMITH PSYD (NPI 1124403100) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.009490) and active in the NPI registry since July 2015. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1124403100
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJONATHAN SMITHCredential: PSYD
Location Address5412 N CLARK ST STE 220Chicago, IL 60640-1272
Mailing Address5412 N Clark St Ste 220Chicago, IL 60640-1272 · (773) 985-8746 · Fax (773) 880-1321
Phone(773) 985-8746
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1124403100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009490
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178.010187 (IL)
5412 N CLARK ST STE 220, Chicago, IL 60640
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Secondary Practice Location 1

Location 15537 N Clark StChicago, IL 60640-1222 · Phone (773) 985-8746

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KANIKA NAVNEET SHUKUL LCPC
Counselor (Professional)
5412 N CLARK ST STE 220
CHICAGO, IL 60640
Cook County (773) 606-5303
ANDERSONVILLE PSYCHOLOGY, PC
Psychologist (Clinical)
5412 N CLARK ST STE 220
CHICAGO, IL 60640
Cook County (773) 985-8746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Smith's NPI number?

The NPI number for Jonathan Smith is 1124403100. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Jonathan Smith located?

Jonathan Smith practices at 5412 N Clark St Ste 220, Chicago, IL 60640. The listed phone number is (773) 985-8746.

What is Jonathan Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Jonathan Smith accept?

Health plans from Providence Health Plan list Jonathan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Smith was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.