DR. JAN HELEN ROY


Address: 875 North Michigan Avenue, Suite 3710, Chicago, IL 60611
Phone: 8479890762

DR. JAN HELEN ROY (NPI# 1265699300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265699300
Entity Type Individual
Full Name DR. JAN HELEN ROY
Other Name JAN HELEN FICKINGER
Credential PSYD
Practice Address 875 North Michigan Avenue
Suite 3710
Chicago
IL 60611
Mailing Address 3009 Indianwood Road
Wilmette
IL 60091
Practice Telephone 8479890762
Practice Fax Number 8472567126
Mailing Telephone 8472567126
Mailing Fax Number 8472567126
Enumeration Date 2008-05-16
Last Update Date 2008-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 071007334 IL Behavioral Health & Social Service Providers

Office Location

Street Address 875 NORTH MICHIGAN AVENUE
SUITE 3710
City CHICAGO
State IL
Zip Code 60611

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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