IndividualActive
Jason Washburn, PH.D., ABPP
NPI 1962628586 · Clinical Child & Adolescent Psychologist · Chicago, IL
Provider details
- NPI number
- 1962628586
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071006568 (IL)
Practice location
3047 N Lincoln Ave
Suite #400
Chicago, IL 60657-4999
Phone: (773) 904-0445
Mailing address
3047 N Lincoln Ave
Chicago, IL 60657-4999
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2011-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.