Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Booth PSYD PLLC

Organization Clinical Child & Adolescent Psychologist · NPI 1417643503

Jennifer Booth PSYD PLLC is a Clinical Child & Adolescent Psychologist in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1409 W Irving Park Rd
Chicago, IL 60613-1920
Phone: (224) 636-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1417643503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Corley — Licensed Psychologist · (224) 636-4942
NPI enumeratedApril 12, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address1929 W Henderson St Rear, Chicago, IL 60657-6666

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