JESSICA SMITH (PSYD) – Clinical Psychologist, NPI 1235639659

JESSICA SMITH (PSYD) is a healthcare provider. based in Morris, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 071.010260 (IL). The NPI Number for JESSICA SMITH (PSYD) is 1235639659

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SMITH (PSYD)
NPI
1235639659
Phone
(815) 942-6323
Address
1401 LAKEWOOD DR STE A
Enumeration Date
13 February 2018
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159426323
Graduation Year
2018 (8 years ago)
PAC ID
0648608794
Group Practice PAC ID
6608780481
Professional Enrollment ID
I20200324000596

Contacts

Secure Messaging
jadams207386@direct.edward.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

Provider Addresses for JESSICA SMITH (PSYD)

  • 1401 LAKEWOOD DR STE A

    MORRIS, IL 604503352

    Phone: (815) 942-6323

    Fax: (779) 210-5541

    Type: Mailing

  • 4043 N RAVENSWOOD AVE STE 302

    CHICAGO, IL 606135683

    Phone: (630) 715-5519

    Type: Location

  • 3426 BORGER ST

    DALLAS, TX 752122723

    Phone: (630) 715-5519

    Type: Mailing

  • PO BOX 7410264

    CHICAGO, IL 606740264

    Phone: (815) 942-6323

    Fax: (779) 210-5541

    Type: Mailing

  • 1239 WINDHAM PKWY

    ROMEOVILLE, IL 604461608

    Phone: (815) 942-6323

    Fax: (779) 210-5541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608780481View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA SMITH (PSYD) using NPI 1235639659?
NPI 1235639659 belongs to JESSICA SMITH (PSYD); compare other details if you need extra assurance.
Is JESSICA SMITH (PSYD) shown as active in public data?
Registry records indicate JESSICA SMITH (PSYD) maintains an active NPI.
How would a patient describe JESSICA SMITH (PSYD)'s focus?
For JESSICA SMITH (PSYD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is JESSICA SMITH (PSYD) registered?
Use Morris, Illinois as the headline location for JESSICA SMITH (PSYD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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