Jie Jiao, PH.D.
NPI 1053720284ActiveIndividual· Psychologist, Clinical· Peoria, IL
Psychologist, Clinical (PH.D.) with Edgewood Clinical Services P.C., practicing in Peoria, Illinois. Medicare paid $20,914 for services to 21 patients in 2024.
Overview
| NPI | 1053720284 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2014 |
| Last updated in NPPES | Jul 27, 2023 |
| Certified by provider | Jul 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071008880 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 231 across 8 procedure codes |
| Paid by Medicare | $20,914 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Edgewood Clinical Services P.C.Orland Park, IL · 310 clinicians
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