JERRY PORZEMSKY, PH.D. P.C.
NPI 1598084154
Psychologist - Clinical in Chicago, IL

Active since May 21, 2010
2909 W FARGO AVE, CHICAGO, IL 60645(773) 262-5757(773) 262-4018 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Porzemsky, Ph.d. P.c. NPPES

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

JERRY PORZEMSKY, PH.D. P.C. (NPI 1598084154) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2010. The organization lists Jerry Marvin Porzemsky, President, as its authorized official.

NPPES Registry Identity

NPI1598084154
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJERRY PORZEMSKY, PH.D. P.C.
Location Address2909 W FARGO AVEChicago, IL 60645-1222
Mailing Address2909 W Fargo AveChicago, IL 60645-1222 · (773) 262-5757 · Fax (773) 262-4018
Fax(773) 262-4018
Organization SubpartNo
Authorized OfficialJerry Marvin PorzemskyPresident · (773) 262-5757
Enumeration DateMay 21, 2010
Last NPPES UpdateJune 24, 2010
NPI 1598084154 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 · 071001197
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.
2909 W FARGO AVE, Chicago, IL 60645

Other Identifiers 1

Other01672054IL · Blue Cross Blue Shield

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

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

Psychologist (Clinical)
2909 W FARGO AVE
CHICAGO, IL 60645

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 Jerry Porzemsky, Ph.D. P.C.'s NPI number?

The NPI number for Jerry Porzemsky, Ph.D. P.C. is 1598084154. It was assigned to this organization in the NPPES registry on May 21, 2010.

Where is Jerry Porzemsky, Ph.D. P.C. located?

Jerry Porzemsky, Ph.D. P.C. is located at 2909 W Fargo Ave, Chicago, IL 60645. The listed phone number is (773) 262-5757.

What is Jerry Porzemsky, Ph.D. P.C.'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 Jerry Porzemsky, Ph.D. P.C. was last updated on June 24, 2010. 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.