Individual provider Active NPI

Alberto Enrique Varona, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1184567794
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.022661 Issued in IL
Practice address
924 W Buena Ave Apt 1
Chicago, IL 60613-0120
Phone
(707) 228-9718
NPI assigned
Apr 10, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.022661 IL Primary

Addresses

Primary practice location

924 W Buena Ave Apt 1
Chicago, IL 60613-0120

Mailing address

924 W Buena Ave Apt 1
Chicago, IL 60613-0120
Phone (707) 228-9718

Other practice location 1

30 N Michigan Ave Ste 1827
Chicago, IL 60602-3635
Phone (707) 228-9718 ext. 89718

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

LicenseStateTypeSpecialty
071.022661ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Varona PSYD PLLC Single Specialty Current Accepting new patients

Locations

30 N Michigan Ave
Ste 1827
Chicago, IL 60602
Phone (312) 641-2819

Organizations & group practices 1

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": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1184567794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W BUENA AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130120",
            "telephone_number": "707-228-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W BUENA AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130120",
            "telephone_number": "707-228-9718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 1827",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023635",
            "country_code": "US",
            "telephone_number": "707-228-9718 x89718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARONA",
        "first_name": "ALBERTO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022661",
            "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 Apr 10, 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.

Verify at the official NPI Registry.