Active NPI
David Charles Usndek, PSYD LC PC CADC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1073684643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007224
- Practice address
- 3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302 - Phone
- (773) 450-8049
- NPI assigned
- Nov 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007224 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 4703 | AZ |
Addresses
Primary practice location
3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302
Mailing address
3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302
Phone (773) 450-8049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053773226 | Other | AZ | NPI FOR INSIGHT PSYCHOLOGICAL SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6031 N Marmora Ave
Chicago, IL 60646-3903
Phone (773) 852-1780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Psychological Services PLLC | Clinical | Current | Accepting new patients |
| Tucson Psychiatry PLLC | Single Specialty | Past | Accepting new patients |
Locations
3045 N 1st Ave
Ste A
Tucson, AZ 85719
Phone (520) 425-3456
3660 N Lake Shore Dr
Ste 201
Chicago, IL 60613
Phone (773) 398-3332
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1053773226
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1285473249
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1073684643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135302",
"telephone_number": "773-450-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135302",
"telephone_number": "773-450-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USNDEK",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PSYD LC PC CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007224",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4703",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR INSIGHT PSYCHOLOGICAL SERVICES",
"identifier": "1053773226",
"state": "AZ"
}
],
"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 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.