Jackson Newsome, PSYD

NPI 1740944438 · on the registry since 2021 · sole proprietor

Practice

Address: 1331 N Bosworth Ave Apt 3
Chicago, IL 60642
Phone: (773) 683-3200
Organisation at this address: Forge Psychology Chicago, Pllc
Inferred from a shared address, not stated in the registry.

Additional practice sites

2500 W Bradley Pl Ste 210, Chicago, IL

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois