Active NPI
Derin James Cobia, PHD
- Clinical Neuropsychologist
- Chicago, IL
National Provider Identifier
1659661916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071008122
- Practice address
- 446 E Ontario St
Suite 7-100
Chicago, IL 60611-4418 - Phone
- (312) 695-5060
- NPI assigned
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 071008122 | IL | Primary |
Addresses
Primary practice location
446 E Ontario St
Suite 7-100
Chicago, IL 60611-4418
Mailing address
710 N Lake Shore Dr
Abbott Hall 1316
Chicago, IL 60611-3006
Phone (312) 503-3984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1659661916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N LAKE SHORE DR",
"address_2": "ABBOTT HALL 1316",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113006",
"telephone_number": "312-503-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 E ONTARIO ST",
"address_2": "SUITE 7-100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114418",
"telephone_number": "312-695-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBIA",
"first_name": "DERIN",
"middle_name": "JAMES",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071008122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.