JENNIFER DIAMOND PHD
NPI 1780167411
Psychologist - Clinical in Chicago, IL

Active since September 10, 2018Opted out of Medicare · through Dec 29, 2027
939 W NORTH AVE STE 750, CHICAGO, IL 60642(262) 885-1977 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Feb 28, 2023, Jan 25, 2023 and 5 more (8 updates tracked since 2018).

About Jennifer Diamond Phd NPPES

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

JENNIFER DIAMOND PHD (NPI 1780167411) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (171010185) and active in the NPI registry since September 2018. She has opted out of Medicare through December 29, 2027 and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1780167411
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER DIAMONDCredential: PHD
Location Address939 W NORTH AVE STE 750Chicago, IL 60642-7142
Mailing Address910 W Armitage AveChicago, IL 60614-4204 · (312) 802-9876
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateSeptember 10, 2018
Last NPPES UpdateDecember 16, 20258 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1780167411 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 · 171010185
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.
939 W NORTH AVE STE 750, Chicago, IL 60642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Diamond Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2025 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2025
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Psychologist (Clinical)
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Marriage & Family Therapist
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Psychologist (Clinical)
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Clinic/Center (Adult Mental Health)
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Counselor (Mental Health)
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Marriage & Family Therapist
939 W NORTH AVE STE 750
CHICAGO, IL 60642
Social Worker (Clinical)
939 W NORTH AVE STE 750
CHICAGO, IL 60642

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 Jennifer Diamond's NPI number?

The NPI number for Jennifer Diamond is 1780167411. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Jennifer Diamond located?

Jennifer Diamond practices at 939 W North Ave Ste 750, Chicago, IL 60642. The listed phone number is (262) 885-1977.

What is Jennifer Diamond's specialty?

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

Is Jennifer Diamond enrolled in Medicare?

No. Jennifer Diamond has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Diamond was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.