JORGE E FERNALD MD
NPI 1912056326
Psychiatry & Neurology - Child & Adolescent Psychiatry in Palos Heights, IL

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
7300 W COLLEGE DR, SUITE #101, PALOS HEIGHTS, IL 60463(708) 448-8470 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2018, Mar 17, 2018, Feb 26, 2018 (3 updates tracked since 2018).

About Jorge E Fernald Md NPPES

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

JORGE E FERNALD MD (NPI 1912056326) is an individual child & adolescent psychiatry provider in Palos Heights, Illinois, licensed in Illinois (036-095526) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Rush Medical College Of Rush University (1992).

NPPES Registry Identity

NPI1912056326
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJORGE E FERNALDCredential: MD
Location Address7300 W COLLEGE DR, SUITE #101Palos Heights, IL 60463
Mailing Address7300 W College Dr, Suite #101Palos Heights, IL 60463-1152 · (708) 448-8470
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1992
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 23, 20183 updates tracked since enumeration
NPI 1912056326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in IL · 036-095526
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036-085526 (IL)
7300 W COLLEGE DR, Palos Heights, IL 60463

Secondary Practice Locations 11

Location 12611 Woodlawn RdSterling, IL 61081-4151 · Phone (815) 625-0013
Location 2922 Washington AveDixon, IL 61021-1254 · Phone (815) 284-6611
Location 3555 Fairview DrRochelle, IL 61068-2310 · Phone (815) 561-9003
Location 41321 N 7th StRochelle, IL 61068-1185 · Phone (815) 562-3801
Location 5100 Jefferson StOregon, IL 61061-1612 · Phone (815) 732-4759
Location 62104 E 23rd StSterling, IL 61081-1608 · Phone (815) 622-0938
Location 71126 Healthcare DrMount Carroll, IL 61053-1469 · Phone (815) 244-4200
Location 8322 Depot AveDixon, IL 61021-2850 · Phone (815) 288-6057
Location 9325 Il Route 2Dixon, IL 61021-9118 · Phone (815) 284-6611
Location 101122 Healthcare DrMount Carroll, IL 61053-1461 · Phone (815) 244-1376
Location 11144 North CtDixon, IL 61021-1224 · Phone (815) 285-5437 · Fax (815) 285-8928

Other Identifiers 2

Medicaid036095526IL
OtherF400488988IL · Medicare

Accepted Insurance

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

Jorge E Fernald Md 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.

PECOS PAC ID5698962165
PECOS Enrollment IDI20101209000544
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
67 services19 patients

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

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.

Psychologist (Clinical)
7300 W COLLEGE DR, 101
PALOS HEIGHTS, IL 60463
Counselor
7300 W COLLEGE DR, SUITE 101
PALOS HEIGHTS, IL 60463
Psychologist
7300 W COLLEGE DR, SUITE 101
PALOS HEIGHTS, IL 60463
Social Worker
7300 W COLLEGE DR, 101
PALOS HEIGHTS, IL 60463
Psychologist
7300 W COLLEGE DR, SUITE 101
PALOS HEIGHTS, IL 60463
Counselor (Mental Health)
7300 W COLLEGE DR, SUITE 205
PALOS HEIGHTS, IL 60463
Counselor (Professional)
7300 W COLLEGE DR, 203
PALOS HEIGHTS, IL 60463
Counselor (Professional)
7300 W COLLEGE DR, SUITE 205
PALOS HEIGHTS, IL 60463

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912056326, enumerated as an "individual" on January 09, 2007.

The provider is located at 7300 W COLLEGE DR SUITE #101 PALOS HEIGHTS, IL 60463 and the phone number is (708) 448-8470.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Group Health Cooperative-SCW, MercyCare Health. Please consult your insurance carrier or call the provider to verify.