DR. JASON TODD HOLDEMAN PSY.D.
NPI 1952385148
Psychologist - Clinical in Great Lakes, IL

Q: What is Jason Holdeman's NPI number?

The NPI number for Jason Holdeman is 1952385148. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Jason Holdeman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Holdeman was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 01, 2005PECOS Enrolled

3420 ILLINOIS ST, GREAT LAKES, IL 60088(847) 688-6755(847) 688-7411 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jason Todd Holdeman Psy.d. NPPES

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

DR. JASON TODD HOLDEMAN PSY.D. (NPI 1952385148) is an individual clinical provider in Great Lakes, Illinois, licensed in Illinois (071-006876) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952385148

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JASON TODD HOLDEMANCredential: PSY.D.

Location Address3420 ILLINOIS STGreat Lakes, IL 60088-3161

Mailing Address101 Misty Hill LnHainesville, IL 60030-1078 · (630) 621-0368

Phone(847) 688-6755

Fax(847) 688-7411

Sole ProprietorYes

Enumeration DateDecember 1, 2005

Last NPPES UpdateMay 31, 2016

✔ NPI 1952385148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-006876

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.

Also ListedPsychologistTaxonomy 103T00000X · License 20041693A (IN)

3420 ILLINOIS ST, Great Lakes, IL 60088

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Todd Holdeman Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60088 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 18

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

EMILY J BAKER DPT

Physical Therapist

3420 ILLINOIS ST
GREAT LAKES, IL 60088

Lake County (847) 688-6755

MR. WARREN K KENNEDY PA-C

Physician Assistant (Medical)

3420 ILLINOIS ST
GREAT LAKES, IL 60088

Lake County (847) 688-2522

TOMASZ BOLTRUCZYK FNP-C

Nurse Practitioner (Family)

3420 ILLINOIS ST
GREAT LAKES, IL 60088

Lake County (847) 688-5568

MR. WILLIAM HARRELD PETERSON PA-C

Physician Assistant

3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL 60088

Lake County (847) 688-6755

DR. JASON YUNGSUP KIM MD

Family Medicine

3420 ILLINOIS ST, USS TRANQUILLITY CLINIC 1007
GREAT LAKES, IL 60088

Lake County (847) 688-6755

JAMES A LOVELL FHCC

Military/U.S. Coast Guard Pharmacy

3420 ILLINOIS ST, USS TRANQUILITYAH14 MED CLN 1017
GREAT LAKES, IL 60088

Lake County (847) 688-2100

DR. NEMESIA FIGUERAS ARTATES M.D.

General Practice

3420 ILLINOIS ST
GREAT LAKES, IL 60088

Lake County (847) 688-6755

DR. JOHN E. DALTON PH.D.

Psychologist (Clinical)

3420 ILLINOIS ST, REU, BUILDING 1007
GREAT LAKES, IL 60088

Lake County (847) 688-7406

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 Jason Holdeman's NPI number?

The NPI number for Jason Holdeman is 1952385148. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Jason Holdeman located?

Jason Holdeman practices at 3420 Illinois St, Great Lakes, IL 60088. The listed phone number is (847) 688-6755.

What is Jason Holdeman's specialty?

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

Is Jason Holdeman enrolled in Medicare?

Yes. Jason Holdeman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Holdeman was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.