JACLYN ROSS PHD PLLC
NPI 1881455012
Clinic/Center - Adult Mental Health in Chicago, IL

Active since January 16, 2024
53 W JACKSON BLVD STE 336, CHICAGO, IL 60604(708) 665-4721 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Ross Phd Pllc NPPES

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

JACLYN ROSS PHD PLLC (NPI 1881455012) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since January 2024. The organization lists Jaclyn Ross, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1881455012
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameJACLYN ROSS PHD PLLC
Location Address53 W JACKSON BLVD STE 336Chicago, IL 60604-3688
Mailing Address2333 W Saint Paul Ave Apt 133Chicago, IL 60647-5343 · (908) 246-5028
Organization SubpartNo
Authorized OfficialJaclyn RossClinical Psychologist · (312) 210-0374
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1881455012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
53 W JACKSON BLVD STE 336, Chicago, IL 60604

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)
53 W JACKSON BLVD STE 336
CHICAGO, IL 60604

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 Jaclyn Ross Phd PLLC's NPI number?

The NPI number for Jaclyn Ross Phd PLLC is 1881455012. It was assigned to this organization in the NPPES registry on January 16, 2024.

Where is Jaclyn Ross Phd PLLC located?

Jaclyn Ross Phd PLLC is located at 53 W Jackson Blvd Ste 336, Chicago, IL 60604. The listed phone number is (708) 665-4721.

What is Jaclyn Ross Phd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Jaclyn Ross Phd PLLC was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.