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

Individual provider Clinical Psychologist · NPI 1740944438

Dr. Jackson Newsome, PSYD is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1331 N Bosworth Ave Apt 3
Chicago, IL 60642-3421
Phone: (773) 683-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 W Bradley Pl Ste 210, Chicago, IL 60618-4716 — (773) 683-3200

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071010649 (IL)

Record details

NPI number1740944438
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 12, 2023
Certification dateOctober 11, 2023

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