Individual provider Active NPI

David Charles Usndek, PSYD LC PC CADC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1073684643
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007224 Issued in IL
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

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1053773226OtherAZNPI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000030 IL Practitioner - Clinical Psychologist 4385745041 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Insight Psychological Services PLLC Clinical CurrentSince Jul 15, 2017 Accepting new patients
Tucson Psychiatry PLLC Single Specialty PastSince May 26, 2024 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.

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

Verify at the official NPI Registry.