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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB B BARACK, PSY.D.

Active

MR. JACOB B BARACK, PSY.D. is a Clinical Psychologist healthcare provider located in PARK RIDGE, Illinois. NPI 1063028306 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PARK RIDGE, IL

Registration Details

NPI Number
1063028306
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2020 (5.8737352660275 yrs)
Last Updated
Oct 22, 2025
Licenses
071.021063 (IL)
0810007923 (VA)

Practice Information

Address
1875 DEMPSTER ST STE 470
PARK RIDGE, IL, 600681129
Browse IL providers · Browse ZIP 60068
Phone
8477953100
Fax
8477235882
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in PARK RIDGE, IL

Name Credential NPI
DR. CLIFFORD W. ROT PH.D. 1457351082
DR. KARYN B CIHAK PSY.D 1770569402
DR. LINDA LEE POWERS PHD 1700857745
DR. JAN L. FITZHUGH PSYD 1255397634
DR. KAREN BECKSTRAND PSYD 1649219866
MS. CYNTHIA C. SAMMONS PH.D. 1528007051
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.