Individual provider Active NPI

Andrew William Hartman, PSY D

  • Psychologist
  • Hoffman Estates, IL
National Provider Identifier
1316923790
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
041 004431 Issued in IL
Practice address
2500 W Higgins Rd
Ste 1136
Hoffman Estates, IL 60195-5220
Phone
(847) 310-1121
Fax
(847) 844-1072
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 041 004431 IL Primary

Addresses

Primary practice location

2500 W Higgins Rd
Ste 1136
Hoffman Estates, IL 60195-5220

Mailing address

75 Barrett Drive
#3
Webster, NY 14580
Phone (847) 310-1121

Other practice location 1

1564 Bellora Way
Webster, NY 14580-9222
Phone (847) 310-1121

Other identifiers 1

IdentifierTypeStateIssuer
01626932OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000345 IL Practitioner - Clinical Psychologist 1254227887 Practice locations: Hoffman Estates, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 1136
Hoffman Estates, IL 60169-2050
Phone (847) 310-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041 004431ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifegate Counseling, LLC Psychologist Current Accepting new patients
Andrew W. Hartman, Psy.D. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1316923790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARRETT DRIVE",
            "address_2": "#3",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "847-310-1121",
            "fax_number": "847-844-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "STE 1136",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955220",
            "telephone_number": "847-310-1121",
            "fax_number": "847-844-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1564 Bellora Way",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145809222",
            "country_code": "US",
            "telephone_number": "847-310-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "041 004431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01626932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.