Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Ryan Soble, PHD, ABPP

Individual provider Clinical Psychologist · NPI 1437578044

Dr. Jason Ryan Soble, PHD, ABPP is a Clinical Psychologist in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

912 S Wood St # MC913
Chicago, IL 60612-4300
Phone: (312) 996-6217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7400 Merton Minter St, San Antonio, TX 78229-4404 — (210) 617-5300

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071.009609 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.009609 (IL)

Record details

NPI number1437578044
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ABPP
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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