DR. JASON J. WASHBURN PH.D., ABPP
NPI 1962628586
Psychologist - Clinical Child & Adolescent in Chicago, IL

Q: What is Jason Washburn's NPI number?

The NPI number for Jason Washburn is 1962628586. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Jason Washburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jason Washburn was last updated on July 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 18, 2007PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

3047 N LINCOLN AVE, SUITE #400, CHICAGO, IL 60657(773) 904-0445 Get Directions Write a Review

NPPES record last updated: July 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jason J. Washburn Ph.d., Abpp NPPES

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

DR. JASON J. WASHBURN PH.D., ABPP (NPI 1962628586) is an individual clinical child & adolescent provider in Chicago, Illinois, licensed in Illinois (071006568) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962628586

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. JASON J. WASHBURNCredential: PH.D., ABPP

Location Address3047 N LINCOLN AVE, SUITE #400Chicago, IL 60657-4999

Mailing Address3047 N Lincoln Ave, Suite #400Chicago, IL 60657-4999 · (773) 904-0445

Phone(773) 904-0445

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 9, 2011

✔ NPI 1962628586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in IL · 071006568

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 071006568 (IL)

Also ListedPsychologistTaxonomy 103T00000X · License 071006568 (IL)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 071006568 (IL)

3047 N LINCOLN AVE, Chicago, IL 60657

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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 and accepts Medicare assignment

Dr. Jason J. Washburn Ph.d., Abpp 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 ID7719139047

PECOS Enrollment IDI20121212000249

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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

MS. ANNA GLASS MA, LCPC

Counselor (Mental Health)

3047 N LINCOLN AVE, SUITE 400
CHICAGO, IL 60657

Cook County (773) 501-8741

NEXT STEP COUNSELING INC

Community/Behavioral Health

3047 N LINCOLN AVE, STE 407
CHICAGO, IL 60657

Cook County (630) 309-2044

SAMANTHA KAY LPC

Counselor (Professional)

3047 N LINCOLN AVE
CHICAGO, IL 60657

Cook County (773) 494-5505

DR. JENA HELGERSON STALLINGS PH.D.

Psychologist (Clinical)

3047 N LINCOLN AVE, SUITE 400
CHICAGO, IL 60657

Cook County (773) 494-5505

DR. DEBORAH SCOTT PH.D.

Psychologist (Clinical)

3047 N LINCOLN AVE, SUITE 400
CHICAGO, IL 60657

Cook County (773) 472-7646

CHICAGO PSYCHOTHERAPY AND CONSULTING, LLC

Psychologist (Clinical)

3047 N LINCOLN AVE, SUITE 400
CHICAGO, IL 60657

Cook County (773) 654-2420

NATALIE MILLER

Counselor (Mental Health)

3047 N LINCOLN AVE
CHICAGO, IL 60657

Cook County (773) 312-3612

KERRY KATHLEEN CURRAN LCSW

Social Worker (Clinical)

3047 N LINCOLN AVE, SUITE 400
CHICAGO, IL 60657

Cook County (773) 494-5505

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 Washburn's NPI number?

The NPI number for Jason Washburn is 1962628586. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jason Washburn located?

Jason Washburn practices at 3047 N Lincoln Ave Suite #400, Chicago, IL 60657. The listed phone number is (773) 904-0445.

What is Jason Washburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jason Washburn enrolled in Medicare?

Yes. Jason Washburn 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 Jason Washburn was last updated on July 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.