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DR. PETER JAKSA PH.D.
NPI 1164751590
Psychologist - Clinical in Chicago, IL

Active since December 14, 2009
30 N MICHIGAN AVE, SUITE 814, CHICAGO, IL 60602(312) 372-4824 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter Jaksa Ph.d. NPPES

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

DR. PETER JAKSA PH.D. (NPI 1164751590) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (IL 071004318) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1164751590
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PETER JAKSACredential: PH.D.
Location Address30 N MICHIGAN AVE, SUITE 814Chicago, IL 60602-3402
Mailing Address30 N Michigan Ave, Suite 814Chicago, IL 60602-3402 · (312) 372-4824
Phone(312) 372-4824
Sole ProprietorYes
Enumeration DateDecember 14, 2009
✔ NPI 1164751590 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 · IL 071004318
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.
30 N MICHIGAN AVE, Chicago, IL 60602
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Other Providers at the Same Location NPPES 20

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

TIMOTHY M. CROWE DMD PC
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602
Cook County (312) 782-2844
AYESHA SIDDIQI M.D.
Allergy & Immunology
30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602
Cook County (312) 236-3642
SUSAN LYNN PELTON PH.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602
Cook County (312) 909-9699
MS. BETTY B. SMITH LCSW, BCD
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602
Cook County (312) 201-1301
DR. KEVIN D DOW D.D.S
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602
Cook County (312) 372-4845
MARYSUE MASTEY LCPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602
Cook County (847) 302-8647
DR. NADIA PERSHAD PSY.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602
Cook County (773) 495-8905
MRS. ERINN WILLIAMS LPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602
Cook County (312) 279-9981

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 Peter Jaksa's NPI number?

The NPI number for Peter Jaksa is 1164751590. It was assigned to this individual provider in the NPPES registry on December 14, 2009.

Where is Peter Jaksa located?

Peter Jaksa practices at 30 N Michigan Ave Suite 814, Chicago, IL 60602. The listed phone number is (312) 372-4824.

What is Peter Jaksa'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 Peter Jaksa was last updated on December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.