Individual provider Active NPI

Adam Hiebel

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1831883644
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.011368 Issued in IL
Practice address
360 E South Water St Apt 2202
Chicago, IL 60601-4133
Phone
(740) 334-8380
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 071.011368 IL Primary

Addresses

Primary practice location

360 E South Water St Apt 2202
Chicago, IL 60601-4133

Mailing address

259 Bryn Du Dr
Granville, OH 43023-1503
Phone (740) 334-8380

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 N Michigan Ave
Suite 810
Chicago, IL 60601-5902

2525 Park City Way
Suite 5
Tampa, FL 33609-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.011368ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropathways Psychological Services Clinical Current Accepting new patients

Organizations & group practices 1

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1831883644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BRYN DU DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231503",
            "telephone_number": "740-334-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E SOUTH WATER ST APT 2202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014133",
            "telephone_number": "740-334-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBEL",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.