Individual provider Active NPI

David L. Lynn, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1033162227
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008180 Issued in IL
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

Updated by the provider on Apr 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040621001350 NC Practitioner - Clinical Psychologist 3375528722
I20120314000680 IL Practitioner - Clinical Psychologist 3375528722 Reassigns benefits to 4 organizations
I20171023000005 NC Practitioner - Psychologist Billing Independently 3375528722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008180ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Apr 9, 2018 Accepting new patients
Optimal Psychological and Consulting Services Clinical CurrentSince Dec 29, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 1, 2024 Accepting new patients
CS Pacs 3 Il, S.C. CurrentSince Feb 1, 2025 Accepting new patients
Cotswold Clinician Support Services CurrentSince Sep 1, 2017 Accepting new patients
North Carolina Neuropsychiatry, P.a. PastSince Feb 26, 2023 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.

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

Verify at the official NPI Registry.