John Christian Hardie, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071007352 Issued in IL

Practice address

85 Revere Drive
Suite 108
Chicago, IL 60657

Phone

(847) 559-9343

Fax

(773) 913-2395

NPI assigned

Oct 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Integrative Psychological Healthcare Center

  • Health Service Psychologist
  • Chicago, IL
  • NPI 1063789220
  NPD (past) Authorized official
• John Hardie PHD Clinical Psychologist LLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1629649157
  NPD
• Targeted Learning Solutions, Inc.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1124354766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1376732255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N SHERIDAN RD",
            "address_2": "APT. 9E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574954",
            "telephone_number": "312-810-5646",
            "fax_number": "773-913-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 REVERE DRIVE",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "847-559-9343",
            "fax_number": "773-913-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Sheridan Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576183",
            "country_code": "US",
            "telephone_number": "847-559-9343",
            "fax_number": "773-913-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IL",
            "license": "071007352",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Lee Harden
• Jenelle Louise Harden, L.C.S.W.
• Monique Harden, OTR/L
• Robert Norman Harden, MD
• Mary Hardesty, NP
• Natalie Hardiman, MD
• Abigail Strom Hardin
• Bianka Nicole Hardin, PSY.D
• Cassandra Elizabeth Hardin, CPNP-AC
• Gabrielle Nicole Hardin

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.