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Persell Jefferson
NPI 1992580666 · Clinical Psychologist · Chicago, IL
Persell Jefferson is a Clinical Psychologist provider in Chicago, IL (NPI 1992580666).
Provider details
- NPI number
- 1992580666
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1110-1110 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
11337 S Wallace St
Chicago, IL 60628-4729
Phone: (773) 698-3088
Street-level locationGet directions
Mailing address
11337 S Wallace St
Chicago, IL 60628-4729
Registry dates
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
- Certified
- 2021-09-09
Frequently asked questions
- What is Persell Jefferson's NPI number?
- Persell Jefferson's National Provider Identifier (NPI) is 1992580666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Persell Jefferson's specialty?
- Persell Jefferson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Persell Jefferson located?
- Persell Jefferson's practice location on file with NPPES is 11337 S Wallace St, Chicago, IL 60628-4729.
- What is Persell Jefferson's phone number?
- The practice phone number listed in the NPPES registry for Persell Jefferson is (773) 698-3088.
- Is Persell Jefferson's NPI active?
- Yes — Persell Jefferson's NPI (1992580666) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.