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

Individual provider Clinical Psychologist · NPI 1053720284

Dr. Jie Jiao, PHD is a Clinical Psychologist in Peoria, Illinois. Qualified in 2012, 14 years ago. Practices with Edgewood Clinical Services PC, a 292-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
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

5901 N Prospect Rd Ste 202
Peoria, IL 61614-4358
Phone: (888) 428-7890
Fax: (877) 428-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2205 State St, Pekin, IL 61554-3936 — (888) 428-7890

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071008880 (IL)

Record details

NPI number1053720284
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 13, 2014
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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 Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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