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

Mr. Jacob B Barack, PSYD

Individual provider Clinical Psychologist · NPI 1063028306

Mr. Jacob B Barack, PSYD is a Clinical Psychologist in Park Ridge, Illinois. Qualified in 2021, 5 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Virginia.

Years since qualifying
5
Licensed in
IL, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

1875 Dempster St Ste 470
Park Ridge, IL 60068-1129
Phone: (847) 795-3100
Fax: (847) 723-5882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9920a E. Johnson St., Joint Base Lewis McChord, WA 98433 — (253) 968-4851

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.021063 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810007923 (VA)

Record details

NPI number1063028306
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park Ridge