| Jodi M Fourt | |
|
1530 N Randall Rd Ste 220 Elgin IL 60123-7879 | |
| (224) 703-5595 | |
| Not Available |
| Full Name | Jodi M Fourt |
|---|---|
| Speciality | Psychologist |
| Location | 1530 N Randall Rd Ste 220, Elgin, Illinois |
| Authorized Official Name and Position | Jodi Fourt (SOLE PROPRIETOR/PSYD) |
| Authorized Official Contact | 2247035595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi M Fourt 13 Crossview Ct Lake In The Hills IL 60156-5841 Ph: (224) 703-5595 | Jodi M Fourt 1530 N Randall Rd Ste 220 Elgin IL 60123-7879 Ph: (224) 703-5595 |
| NPI Number | 1376235184 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 3072950773 |
|---|---|
| Medicare Enrollment ID | O20240318000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376235184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jodi M Fourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053662445 PECOS PAC ID: 5294153110 Enrollment ID: I20200909002063 |
Valley Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2295 Valley Creek Dr Ste I, Elgin, IL 60123 Phone: 847-687-4361 | |
Suburban Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Douglas Ave Ste 253, Elgin, IL 60120 Phone: 630-299-4342 Fax: 630-405-5857 | |
Primrose Family Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park St, Elgin, IL 60120 Phone: 815-822-8668 | |
Baugh Behavioral Health Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2090 Larkin Ave Ste 5a2, Elgin, IL 60123 Phone: 224-454-1719 | |
Open Doors Of Kane County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Larkin Ave Ste 301, Elgin, IL 60123 Phone: 731-324-0702 | |
Elgin Mental Health Center Ftp M&n 4581 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S. State St., Elgin, IL 60123 Phone: 847-742-1040 Fax: 847-429-4910 | |
Mathers Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Airport Rd Ste C, Elgin, IL 60123 Phone: 815-444-9999 |