Active NPI
Paul Davenport, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1164388153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.022585
- Practice address
- 10343 S Western Ave
Chicago, IL 60643-2410 - Phone
- (708) 480-2462
- NPI assigned
- Jan 2, 2026
- Last updated
- Jan 2, 2026
- 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 | 071.022585 | IL | Primary |
Addresses
Primary practice location
10343 S Western Ave
Chicago, IL 60643-2410
Mailing address
1505 E Central Rd Unit 213B
Arlington Heights, IL 60005-3328
Phone (708) 480-2462
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.022585 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1164388153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E CENTRAL RD UNIT 213B",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053328",
"telephone_number": "708-480-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10343 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432410",
"telephone_number": "708-480-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "PAUL",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.022585",
"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 Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.