Individual provider Active NPI

Alan T. Hirsch

  • Clinical Psychologist
  • West Chicago, IL
National Provider Identifier
1619082179
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.004215 Issued in IL
Practice address
201 W North Ave
West Chicago, IL 60185-6224
Phone
(630) 674-6791
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 071.004215 IL Primary

Addresses

Primary practice location

201 W North Ave
West Chicago, IL 60185-6224

Mailing address

3023 Bennett Dr
Naperville, IL 60564-5176

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
I20040308000405 IL Practitioner - Clinical Psychologist 2365330800 Practice locations: North Aurora, IL; West Chicago, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.004215ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Psychological Services, LTD. Clinical Past Accepting new patients
Aspen Behavioral Care Clinical PastSince Jul 31, 2013 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1619082179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 BENNETT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTH AVE",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856224",
            "telephone_number": "630-674-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "ALAN",
        "middle_name": "T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

Verify at the official NPI Registry.