Skip to main content
IndividualActiveMedicare EnrolledCan Order/Refer

Dr. Jerry Mark Otoole

PSYD

Psychologist

NPI: 1790393650Plainfield, Illinois, 60544(630) 621-5824Male

About Dr. Jerry Mark Otoole

Dr. Jerry Mark Otoole, PSYD, is a male healthcare professional specializing in Psychologist, registered under National Provider Identifier (NPI) number 1790393650. Dr. Jerry Mark Otoole received his medical education at OTHER, graduating in 2000.

Their primary practice is located at 24402 W LOCKPORT ST STE 215, Plainfield, Illinois 60544. Patients can reach the office at (630) 621-5824. Dr. Jerry Mark Otoole is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Dr. Jerry Mark Otoole has been NPI-registered since 2020.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1790393650
Entity Type
Individual
First Name
Jerry
Last Name
Otoole
Credential
PSYD
Gender
Male
Medical School
OTHER
Graduation Year
2000
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
24402 W LOCKPORT ST STE 215
City
Plainfield
State
Illinois
ZIP
60544-4204
Country
United States
Phone
(630) 621-5824

Specialty & Taxonomy

Primary Specialty
Psychologist
Classification
Psychologist
Taxonomy Code
103T00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
12816 TIMBER WOOD CIR
City
PLAINFIELD
State
IL
ZIP
605852974

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Dr. Jerry Mark Otoole's NPI number?
Dr. Jerry Mark Otoole's National Provider Identifier (NPI) is 1790393650. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Jerry Mark Otoole specialize in?
Dr. Jerry Mark Otoole specializes in Psychologist. They received their medical education at OTHER (class of 2000).
Where is Dr. Jerry Mark Otoole located?
Dr. Jerry Mark Otoole practices at 24402 W LOCKPORT ST STE 215, Plainfield, Illinois 60544. You can reach them by phone at (630) 621-5824.
Does Dr. Jerry Mark Otoole accept Medicare?
Yes, Dr. Jerry Mark Otoole is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Jerry Mark Otoole offer telehealth or virtual visits?
Dr. Jerry Mark Otoole does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jerry Mark Otoole is 1790393650.