1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychologist
  6. NPI Profile

DR. JACOB ROSSER PSYD
NPI 1164724019
Psychologist - Clinical in Chicago, IL

Active since November 29, 2010
3257 N SHEFFIELD AVE STE 118, CHICAGO, IL 60657(309) 868-3654 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Oct 6, 2020, Aug 21, 2017 (3 updates tracked since 2017).

About Dr. Jacob Rosser Psyd NPPES

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

DR. JACOB ROSSER PSYD (NPI 1164724019) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.009553) and active in the NPI registry since November 2010. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1164724019
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOB ROSSERCredential: PSYD
Location Address3257 N SHEFFIELD AVE STE 118Chicago, IL 60657-2276
Mailing Address1209 W Diversey Pwky Unit G-2Chicago, IL 60614-1201 · (773) 236-8566 · Fax (773) 257-7553
Phone(309) 868-3654
Sole ProprietorYes
Enumeration DateNovember 29, 2010
Last NPPES UpdateMay 6, 20223 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1164724019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009553
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.
3257 N SHEFFIELD AVE STE 118, Chicago, IL 60657
Open in Google Maps ↗

Secondary Practice Location 1

Location 11209 W Diversey Pkwy Unit G-2Chicago, IL 60614 · Phone (773) 236-8566 · Fax (773) 257-7553

Other Providers at the Same Location NPPES

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

DAVID B FRAZER
Psychologist
3257 N SHEFFIELD AVE STE 118
CHICAGO, IL 60657
Cook County (773) 236-8566

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 Jacob Rosser's NPI number?

The NPI number for Jacob Rosser is 1164724019. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Jacob Rosser located?

Jacob Rosser practices at 3257 N Sheffield Ave Ste 118, Chicago, IL 60657. The listed phone number is (309) 868-3654.

What is Jacob Rosser's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Rosser was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.