Jacob Barack, PSY.D.
NPI 1063028306 · Clinical Psychologist · Park Ridge, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Barack, PSY.D. is a Clinical Psychologist provider in Park Ridge, IL (NPI 1063028306).
Provider details
- NPI number
- 1063028306
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 071.021063 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9920a E. Johnson St.Department of Behavioral Medicine- Mche-DbmJoint Base Lewis Mcchord, WA 98433Phone: (253) 968-4851
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Jacob Barack's NPI number?
- Jacob Barack's National Provider Identifier (NPI) is 1063028306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Barack's specialty?
- Jacob Barack is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacob Barack located?
- Jacob Barack's practice location on file with NPPES is 1875 Dempster St Ste 470, Park Ridge, IL 60068-1129.
- What is Jacob Barack's phone number?
- The practice phone number listed in the NPPES registry for Jacob Barack is (847) 795-3100.
- Does Jacob Barack accept Medicare?
- Jacob Barack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Barack's NPI active?
- Yes — Jacob Barack's NPI (1063028306) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.