Individual provider Active NPI

Joshua R Yeager, PSY.D.

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1851709166
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008862 Issued in IL
Practice address
908 N Elm St Ste 207
Hinsdale, IL 60521-3637
Phone
(630) 850-2120
Fax
(630) 850-2123
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 071008862 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 207
Hinsdale, IL 60521-3637

Mailing address

908 N Elm St Ste 207
Hinsdale, IL 60521-3637
Phone (630) 850-2120

Other practice location 1

2212 Eastview Ave
Louisville, KY 40205-2663
Phone (812) 453-9154

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.yeager.2@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909001907 IL Practitioner - Clinical Psychologist 9234358029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008862ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Aug 15, 2014 Accepting new patients
Adventist Health Partners,Inc CurrentSince Aug 15, 2014 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Midwest Health Past Accepting new patients
PK Chandarana MD LTD Past Accepting new patients
Adventist Midwest Health Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

908 N Elm St
Ste 207
Hinsdale, IL 60521
Phone (312) 323-1558

Organizations & group practices 6

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1851709166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 207",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-850-2120",
            "fax_number": "630-850-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 207",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-850-2120",
            "fax_number": "630-850-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 Eastview Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052663",
            "country_code": "US",
            "telephone_number": "812-453-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.yeager.2@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "999 Oakmont Plaza Dr",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605595563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.