Active NPI
David B Albert, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1093775124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008659
- Practice address
- 1830 N Hudson Ave Unit a
Chicago, IL 60614 - Phone
- (860) 751-8076
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 071008659 | IL | Primary |
Addresses
Primary practice location
1830 N Hudson Ave Unit a
Chicago, IL 60614
Mailing address
1830 N Hudson Ave Unit a
Chicago, IL 60614-7978
Other practice location 1
10 Talcott Notch Rd
Psychiatry Associates
Farmington, CT 06032-1800
Phone (860) 679-6700
Other practice location 2
10 Talcott Notch Rd
Psychiatry Associates
Farmington, CT 06032-1800
Phone (860) 679-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008659 | IL | MD | Clinical Psychologist |
| 002578 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
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 Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1093775124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 N HUDSON AVE UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 N HUDSON AVE UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "860-751-8076"
}
],
"practiceLocations": [
{
"address_1": "10 Talcott Notch Rd",
"address_2": "Psychiatry Associates",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321800",
"country_code": "US",
"telephone_number": "860-679-6700",
"fax_number": "860-679-6736",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Talcott Notch Rd",
"address_2": "Psychiatry Associates",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321800",
"country_code": "US",
"telephone_number": "860-679-6700",
"fax_number": "860-679-6736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBERT",
"first_name": "DAVID",
"middle_name": "B",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008659",
"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 Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.