JACKIE GOLLAN PHD
NPI 1841383007
Psychologist - Clinical in Chicago, IL
About Jackie Gollan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE GOLLAN PHD (NPI 1841383007) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jackie Gollan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Jackie Gollan's NPI number?
The NPI number for Jackie Gollan is 1841383007. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Jackie Gollan located?
Jackie Gollan practices at 446 E Ontario St Suite 7-100, Chicago, IL 60611. The listed phone number is (312) 695-5060.
What is Jackie Gollan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jackie Gollan enrolled in Medicare?
Yes. Jackie Gollan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jackie Gollan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jackie Gollan, PHD · NPI 1841383007
Clinical provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1841383007 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 446 E ONTARIO ST, SUITE 7-100, Chicago, IL 60611-4418
- **Phone:** (312) 695-5060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1841383007) · Data from the CMS NPPES public registry.