JENNIFER BOOTH PSYD PLLC
NPI 1417643503
Psychologist - Clinical Child & Adolescent in Chicago, IL

Q: What is Jennifer Booth Psyd PLLC's NPI number?

The NPI number for Jennifer Booth Psyd PLLC is 1417643503. It was assigned to this organization in the NPPES registry on April 12, 2023.

Q: What is Jennifer Booth Psyd PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since April 12, 2023

1409 W IRVING PARK RD, CHICAGO, IL 60613(224) 636-4942 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 7, 2023, Apr 12, 2023 (2 updates tracked since 2023).

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About Jennifer Booth Psyd Pllc NPPES

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

JENNIFER BOOTH PSYD PLLC (NPI 1417643503) is a healthcare organization registered as a clinical child & adolescent in Chicago, Illinois and active in the NPI registry since April 2023. The organization lists Jennifer L Corley, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1417643503

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameJENNIFER BOOTH PSYD PLLC

Location Address1409 W IRVING PARK RDChicago, IL 60613-1920

Mailing Address1929 W Henderson St RearChicago, IL 60657-6666 · (224) 636-4942

Phone(224) 636-4942

Organization SubpartNo

Authorized OfficialJennifer L CorleyLicensed Psychologist · (224) 636-4942

Enumeration DateApril 12, 2023

Last NPPES UpdateJune 7, 20232 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1417643503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1409 W IRVING PARK RD, Chicago, IL 60613

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

YAHAIRA GARCIA-DOMINGUEZ LCPC

Counselor (Professional)