Mitchell Bradley Hoberman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008992 Issued in IL

Practice address

1415 Bond St
Suite #127
Naperville, IL 60563-2388

Phone

(630) 355-9002

Fax

(630) 355-9012

NPI assigned

Aug 29, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 27, 2016 through Jan 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mitchell B. Hoberman, Psy.D., P.C.

  • Psychologist
  • Skokie, IL
  • NPI 1932709052
  NPD Authorized official
• Dr Susan B Myket PC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1457570251
  NPD (past)
• New Day Treatment Program PC

  • Counseling Psychologist
  • Naperville, IL
  • NPI 1326308545
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1649428889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 SAMOSET TRL",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761914",
            "telephone_number": "847-691-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE #127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-355-9002",
            "fax_number": "630-355-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBERMAN",
        "first_name": "MITCHELL",
        "middle_name": "BRADLEY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Hladik, AA
• Jasen Ho
• Peter Nghia Xuan Ho, PHARM D
• Emily Hoang, DMD
• Michael John Hobart, LCPC
• Hobson Meadows Family Medicine S C
• Hobsonrx LLC
• Carrie Hockinson, PT
• Emily Suzanne Hoefs, OTD, OTR/L
• Michael Patrick Hoeh, MD

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.