Active NPI
Aleda Jordyn Hoffman, PSYD
- Clinical Psychologist
- Oakbrook Terrace, IL
National Provider Identifier
1306415005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010584
- Practice address
- 1S132 Summit Ave Ste 305D
Oakbrook Terrace, IL 60181-3929 - Phone
- (630) 296-7449
- Fax
- (630) 296-7449
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.014043 | IL | |
| Clinical Psychologist | 103TC0700X | 071.010584 | IL | Primary |
Addresses
Primary practice location
1S132 Summit Ave Ste 305D
Oakbrook Terrace, IL 60181-3929
Mailing address
405 Cambridge Way
Bolingbrook, IL 60440-1145
Phone (630) 296-7449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178.014043 | Other | IL | DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Other names 1
- Aleda Jordyn Varga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014043 | IL | MD | Professional Counselor |
| 071.010584 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1306415005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 CAMBRIDGE WAY",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401145",
"telephone_number": "630-296-7449",
"fax_number": "630-929-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S132 SUMMIT AVE STE 305D",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813929",
"telephone_number": "630-296-7449",
"fax_number": "630-296-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ALEDA",
"middle_name": "JORDYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.014043",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "178.014043",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEDA",
"last_name": "VARGA",
"middle_name": "JORDYN",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.