David Paul Smith, MA, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-006030 Issued in IL

Practice address

2334 W Lawrence Ave Ste 212
Chicago, IL 60625-1037

Phone

(773) 562-3276

Fax

(773) 363-0600

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

University of Chicago, Pritzker School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, 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 Psyche Services, S.C.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1619113396
  Medicare reassignment NPD Authorized official
• Apex Behavioral Consultants

  • Mental Health Counselor
  • Hazel Crest, IL
  • NPI 1477727832
  NPD (past)
• Sonnenberg & Associates LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1992836282
  NPD (past)
• Uptown Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1801305404
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1386711950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251037",
            "telephone_number": "773-562-3276",
            "fax_number": "773-363-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251037",
            "telephone_number": "773-562-3276",
            "fax_number": "773-363-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E 53rd St Ste 935",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154578",
            "country_code": "US",
            "telephone_number": "773-562-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MA, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-006030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635194",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Grace Smith, MD
• Danielle Shauna Smith
• Daphne E Smith, PHARM.D., CDE
• Daven Smith
• David Lablance Smith, LSW
• Deborah Ellen Smith, DEBORAH SMITH
• Delaney Smith
• Delora Ann Smith, NURSE PRACTITIONER
• Dominique Smith, NP
• Donna Darcell Smith, LCPC, CADC

• 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 Feb 20, 2025; 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.