Jacqueline Grace Rea, PHD, ABPP-CN
NPI 1487829867ActiveIndividual· Clinical Neuropsychologist· Orland Park, IL
Clinical Neuropsychologist (PHD, ABPP-CN) in Orland Park, Illinois, licensed in IL, with an NPI issued in April 2008.
Overview
| NPI | 1487829867 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, ABPP-CN |
| Sole proprietor | Yes |
| NPI issued | Apr 25, 2008 |
| Last updated in NPPES | Nov 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 071007463 | IL |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 071007463 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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