What is Peter Jaksa's NPI number?

Peter Jaksa's National Provider Identifier (NPI) is 1164751590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Peter Jaksa's specialty?

Peter Jaksa is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Peter Jaksa located?

Peter Jaksa's practice location on file with NPPES is 30 N Michigan Ave, Chicago, IL 60602-3402.

What is Peter Jaksa's phone number?

The practice phone number listed in the NPPES registry for Peter Jaksa is (312) 372-4824.

Is Peter Jaksa's NPI active?

Yes — Peter Jaksa's NPI (1164751590) is active in the NPPES registry as of the last update on 2009-12-14.

IndividualActive

Peter Jaksa, PH.D.

NPI 1164751590 · Clinical Psychologist · Chicago, IL

Peter Jaksa, PH.D. is a Clinical Psychologist provider in Chicago, IL (NPI 1164751590).

Provider details

NPI number: 1164751590
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: IL 071004318 (IL)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense IL 071004318 (IL)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

30 N Michigan Ave

Suite 814

Chicago, IL 60602-3402

Phone: (312) 372-4824

Approximate (ZIP-level) locationGet directions

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Mailing address