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DR. JAN H NUSSBAUM PH.D.
NPI 1902935885
Psychologist - Clinical in Chicago, IL

Active since March 05, 2007Opted out of Medicare · through Nov 30, 2027
600 N MCCLURG CT, SUITE 3803, CHICAGO, IL 60611(312) 642-4772(312) 266-6375 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jan H Nussbaum Ph.d. NPPES

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

DR. JAN H NUSSBAUM PH.D. (NPI 1902935885) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through November 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902935885
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAN H NUSSBAUMCredential: PH.D.
Location Address600 N MCCLURG CT, SUITE 3803Chicago, IL 60611-3044
Mailing Address600 N Mcclurg Ct, Suite 3803Chicago, IL 60611-3044 · (312) 642-4772 · Fax (312) 266-6375
Phone(312) 642-4772
Fax(312) 266-6375
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902935885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
600 N MCCLURG CT, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jan H Nussbaum Ph.d. 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 November 30, 2017 through November 30, 2027.

Opt-Out Effective DateNovember 30, 2017
Opt-Out In Effect ThroughNovember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. ENIO A RIGOLIN MD
Psychiatry & Neurology (Psychiatry)
600 N MCCLURG CT
CHICAGO, IL 60611
Cook County (312) 266-8434
PAUL PASULKA, PH.D., P.C.
Clinical Neuropsychologist
600 N MCCLURG CT, SUITE 3803A
CHICAGO, IL 60611
Cook County (312) 266-2136
PAUL PASULKA PH.D.
Clinical Neuropsychologist
600 N MCCLURG CT, SUITE 3803A
CHICAGO, IL 60611
Cook County (312) 266-2136
JUDITH FLORENDO, PC
Physical Therapist
600 N MCCLURG CT, A312
CHICAGO, IL 60611
Cook County (312) 337-8840
SATELLITE PHYSICAL THERAPY
Physical Therapist
600 N MCCLURG CT
CHICAGO, IL 60611
Cook County (765) 592-2283
ANITA T CHELETTE P. T.
Physical Therapist
600 N MCCLURG CT, A312
CHICAGO, IL 60611
Cook County (312) 337-8840
ENIO A RIGOLIN MD SC
Psychiatry & Neurology (Psychiatry)
600 N MCCLURG CT
CHICAGO, IL 60611
Cook County (630) 241-1495
DR. COURTNEY M WEST BLASKOVICH PH.D.
Psychologist (Clinical)
600 N MCCLURG CT, #3803A
CHICAGO, IL 60611
Cook County (312) 246-9166

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 Jan Nussbaum's NPI number?

The NPI number for Jan Nussbaum is 1902935885. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Jan Nussbaum located?

Jan Nussbaum practices at 600 N Mcclurg Ct Suite 3803, Chicago, IL 60611. The listed phone number is (312) 642-4772.

What is Jan Nussbaum's specialty?

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

Is Jan Nussbaum enrolled in Medicare?

No. Jan Nussbaum has opted out of Medicare through November 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jan Nussbaum 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.