Individual provider Active NPI

Hayat Nadar, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1205605748
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071011048 Issued in IL
Practice address
4707 N Broadway St Ste 304
Chicago, IL 60640-7900
Phone
(708) 232-3350
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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 071011048 IL Primary

Addresses

Primary practice location

4707 N Broadway St Ste 304
Chicago, IL 60640-7900

Mailing address

4707 N Broadway St Ste 304
Chicago, IL 60640-7900
Phone (708) 232-3350

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
071011048ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Depth Collective PLLC Clinical CurrentSince Dec 1, 2023 Accepting new patients

Locations

4707 N Broadway St
Ste 304
Chicago, IL 60640
Phone (708) 232-3350

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1205605748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407900",
            "telephone_number": "708-232-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407900",
            "telephone_number": "708-232-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAR",
        "first_name": "HAYAT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011048",
            "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 Jun 23, 2024; 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.