Active NPI
Robert L. Sims Jr., MS, PHD - INTERN
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1760265292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00000000
- Practice address
- 2071 N Southport Ave Ste 100
Chicago, IL 60614-4015 - Phone
- (404) 653-0374
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000000 | GA | |
| Clinical Psychologist | 103TC0700X | 00000000 | IL | Primary |
Addresses
Primary practice location
2071 N Southport Ave Ste 100
Chicago, IL 60614-4015
Mailing address
2071 N Southport Ave Ste 100
Chicago, IL 60614-4015
Phone (708) 231-0798
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | IL | MD | Pediatric Dentist |
| 000000 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1760265292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2071 N SOUTHPORT AVE STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144015",
"telephone_number": "708-231-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2071 N SOUTHPORT AVE STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144015",
"telephone_number": "404-653-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "ROBERT",
"middle_name": "L.",
"name_suffix": "Jr.",
"credential": "MS, PHD - INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "000000",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "00000000",
"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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.