IndividualActive
Jacob Rosser, PSYD
NPI 1164724019 · Clinical Psychologist · Chicago, IL
Jacob Rosser, PSYD is a Clinical Psychologist provider in Chicago, IL (NPI 1164724019).
Provider details
- NPI number
- 1164724019
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.009553 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3257 N Sheffield Ave Ste 118
Chicago, IL 60657-2276
Phone: (309) 868-3654
Street-level locationGet directions
Mailing address
1209 W Diversey Pwky Unit G-2
Chicago, IL 60614-1201
Additional practice locations (1)
- 1209 W Diversey Pkwy Unit G-2Chicago, IL 60614Phone: (773) 236-8566Fax: (773) 257-7553
Registry dates
- Enumerated
- 2010-11-29
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Frequently asked questions
- What is Jacob Rosser's NPI number?
- Jacob Rosser's National Provider Identifier (NPI) is 1164724019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Rosser's specialty?
- Jacob Rosser is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacob Rosser located?
- Jacob Rosser's practice location on file with NPPES is 3257 N Sheffield Ave Ste 118, Chicago, IL 60657-2276.
- What is Jacob Rosser's phone number?
- The practice phone number listed in the NPPES registry for Jacob Rosser is (309) 868-3654.
- Is Jacob Rosser's NPI active?
- Yes — Jacob Rosser's NPI (1164724019) is active in the NPPES registry as of the last update on 2022-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.