Individual provider Active NPI

David Chong Hoover, PSYD, PC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1841422458
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071008817 Issued in IL
Practice address
111 N Wabash Ave
Suite 822
Chicago, IL 60602-1903
Phone
(312) 436-1657
Fax
(312) 284-4505
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007852 IL
Psychologist 103T00000X 071008817 IL Primary

Addresses

Primary practice location

111 N Wabash Ave
Suite 822
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074
Phone (312) 436-1657

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

State licenses

LicenseStateTypeSpecialty
180007852ILMDProfessional Counselor
071008817ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David Hoover, PSYD, PC CurrentSince Aug 16, 2021 Accepting new patients

Locations

111 N Wabash Ave
Ste 822
Chicago, IL 60602
Phone (224) 327-0019

111 N Wabash Ave
Ste 1400
Chicago, IL 60602
Phone (312) 436-1657

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1841422458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657",
            "fax_number": "312-284-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 822",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-436-1657",
            "fax_number": "312-284-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "DAVID",
        "middle_name": "CHONG",
        "name_prefix": "Dr.",
        "credential": "PSYD, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007852",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008817",
            "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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.