MEDICARE: DR. DIVYA JAIN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TM1800X	Intellectual & Developmental Disabilities Psychologist
2	103TB0200X	Cognitive & Behavioral Psychologist
3	103TC0700X	Clinical Psychologist	071010532	IL
4	103TC1900X	Counseling Psychologist
5	103TH0004X	Health Psychologist
6	103TR0400X	Rehabilitation Psychologist
7	103T00000X	Psychologist
8	103G00000X	Clinical Neuropsychologist
9	103TA0700X	Adult Development & Aging Psychologist

General Provider Information

NPI Number	:	1326620642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIVYA JAIN PSY.D.

Provider Business Mailing Address
First Line	:	2063 OLIVE HILL DR
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-4644
Country	:	US
Telephone Number	:	630-828-6867
Fax Number	:	630-293-5814

Provider Business Practice Location Address
First Line	:	2150 E LAKE COOK RD FL 9
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1862
Country	:	US
Telephone Number	:	630-828-6867
Fax Number	:	630-293-5814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	01/24/2025

Similar Medicare Providers

1194673608 — MS. SONALI C SHRESTHA MSN,RN,PMHNP-BC
Practice Location Address:

2150 E LAKE COOK RD
BUFFALO GROVE, IL
60089-1862

Practice Phone: 773-707-6072
Practice Fax:

1427025998 — DR. LARRY RAY FAULKNER M.D.
Practice Location Address:

2150 E LAKE COOK RD , SUITE 900
BUFFALO GROVE, IL
60089-1862

Practice Phone: 847-229-6500
Practice Fax: 847-229-6600

1679533764 — AARON COHEN MD
Practice Location Address:

2150 E LAKE COOK RD , SUITE 40-C
BUFFALO GROVE, IL
60089-1862

Practice Phone: 847-465-6025
Practice Fax:

1245278910 — XIMENA R LLOBET M.D.
Practice Location Address:

2150 E LAKE COOK RD , SUITE 40 - C
BUFFALO GROVE, IL
60089-1862

Practice Phone: 847-465-6025
Practice Fax: 847-465-6050

1255900411 — BODH CENTER FOR WELLNESS
Practice Location Address:

2150 E LAKE COOK RD FL 9
BUFFALO GROVE, IL
60089-1862

Practice Phone: 630-828-6867
Practice Fax: 630-293-5814

1063238988 — ALIGN LIFE THERAPY, PLLC
Practice Location Address:

2150 E LAKE COOK RD FL 9
BUFFALO GROVE, IL
60089-1862

Practice Phone: 224-412-8327
Practice Fax:

Directions to “ DR. DIVYA JAIN PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.