Individual provider Active NPI

David B Albert, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1093775124
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008659 Issued in IL
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

Updated by the provider on Dec 14, 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 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

LicenseStateTypeSpecialty
071008659ILMDClinical Psychologist
002578CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.