Active NPI
David L. Lynn, PSYD
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008180
- Practice address
- 2656 W Montrose Ave
Suite 101
Chicago, IL 60618-1559 - Phone
- (773) 717-0158
- Fax
- (773) 409-7157
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008180 | IL | Primary |
Addresses
Primary practice location
2656 W Montrose Ave
Suite 101
Chicago, IL 60618-1559
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 793-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008180 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Illinois Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Optimal Psychological and Consulting Services | Clinical | Current | Accepting new patients |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| CS Pacs 3 Il, S.C. | Current | Accepting new patients | |
| Cotswold Clinician Support Services | Current | Accepting new patients | |
| North Carolina Neuropsychiatry, P.a. | Past | Accepting new patients | |
| Joy Braunlich LCSW, Sap | Past | Accepting new patients |
Locations
2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013
600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630
1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
1006 N Lowden Rd
Mount Carroll, IL 61053
Phone (815) 244-7715
6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311
7250 W College Dr
Ste 202C
Palos Heights, IL 60463
Phone (704) 550-6898
1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805
612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020
447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Park Ridge, IL
- NPI 1598577124
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1952830853
-
dba Matone Counseling and Testing
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1063893568
-
- Clinical Psychologist
- Palos Heights, IL
- NPI 1598573248
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1497951123
-
- Child & Adolescent Psychiatry Physician
- Chapel Hill, NC
- NPI 1265403042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1033162227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "734-793-6140",
"fax_number": "865-560-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 W MONTROSE AVE",
"address_2": "SUITE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181559",
"telephone_number": "773-717-0158",
"fax_number": "773-409-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.