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DR. JERRY MARVIN PORZEMSKY PH.D.
NPI 1982794673
Psychologist - Clinical in Chicago, IL

Active since October 13, 2006
2909 W FARGO AVE, CHICAGO, IL 60645(773) 262-5757(773) 262-4018 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Marvin Porzemsky Ph.d. NPPES

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

DR. JERRY MARVIN PORZEMSKY PH.D. (NPI 1982794673) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (0711197) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1982794673
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JERRY MARVIN PORZEMSKYCredential: PH.D.
Location Address2909 W FARGO AVEChicago, IL 60645-1222
Mailing Address2909 W Fargo AveChicago, IL 60645-1222 · (773) 262-5757 · Fax (773) 262-4018
Phone(773) 262-5757
Fax(773) 262-4018
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982794673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 0711197
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.
2909 W FARGO AVE, Chicago, IL 60645
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Other Identifiers 1

Medicare ID-Type Unspecified509410IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

JERRY PORZEMSKY, PH.D. P.C.
Psychologist (Clinical)
2909 W FARGO AVE
CHICAGO, IL 60645
Cook County (773) 262-5757

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 Jerry Porzemsky's NPI number?

The NPI number for Jerry Porzemsky is 1982794673. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Jerry Porzemsky located?

Jerry Porzemsky practices at 2909 W Fargo Ave, Chicago, IL 60645. The listed phone number is (773) 262-5757.

What is Jerry Porzemsky's specialty?

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

What insurance does Jerry Porzemsky accept?

Health plans from Providence Health Plan list Jerry Porzemsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Porzemsky was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.