Active NPI
David Mobley
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1194634634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 150118122
- Practice address
- 201 W Lake St Ste 104
Chicago, IL 60606-1945 - Phone
- (470) 582-8092
- Fax
- (470) 582-8092
- NPI assigned
- Sep 2, 2026
- Last updated
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 150118122 | IL | Primary |
Addresses
Primary practice location
201 W Lake St Ste 104
Chicago, IL 60606-1945
Mailing address
201 W Lake St Ste 104
Chicago, IL 60606-1945
Phone (470) 582-8092
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1194634634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKE ST STE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061945",
"telephone_number": "470-582-8092",
"fax_number": "470-582-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAKE ST STE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061945",
"telephone_number": "470-582-8092",
"fax_number": "470-582-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "150118122",
"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 Sep 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.