JORGE E. FERNALD MD – NPI #1912056326
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

JORGE FERNALD is a psychiatry & neurologist located in PALOS HEIGHTS, IL. NPPES has assigned the NPI number 1912056326 to JORGE FERNALD on January 09, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 11 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 8 years ago on Aug 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORGE FERNALD below.

NPI Profile for
JORGE E. FERNALD

NPI Number
1912056326
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORGE E. FERNALD
Credentials
MD
Primary location
7300 W COLLEGE DR
SUITE #101
PALOS HEIGHTS, IL 60463
Phone: (708) 448-8470 Fax:
11 Other location(s):
144 North Ct
Dixon, IL 61021-1224
Phone: (815) 285-5437
Fax: (815) 285-8928
322 Depot Ave
Dixon, IL 61021-2850
Phone: (815) 288-6057
325 Il Route 2
Dixon, IL 61021-9118
Phone: (815) 284-6611
922 Washington Ave
Dixon, IL 61021-1254
Phone: (815) 284-6611
1122 Healthcare Dr
Mount Carroll, IL 61053-1461
Phone: (815) 244-1376
1126 Healthcare Dr
Mount Carroll, IL 61053-1469
Phone: (815) 244-4200
100 Jefferson St
Oregon, IL 61061-1612
Phone: (815) 732-4759
1321 N 7th St
Rochelle, IL 61068-1185
Phone: (815) 562-3801
555 Fairview Dr
Rochelle, IL 61068-2310
Phone: (815) 561-9003
2104 E 23rd St
Sterling, IL 61081-1608
Phone: (815) 622-0938
2611 Woodlawn Rd
Sterling, IL 61081-4151
Phone: (815) 625-0013
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JORGE FERNALD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAREILF400488988
MEDICAIDIL036095526
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)		 IL 036-095526
2084P0800X
- Psychiatry & Neurology / Psychiatry		 IL 036-085526

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY - Graduated 1992
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.