Individual provider Active NPI

Dinko Aleksandrov, PSYD

  • Psychologist
  • Chicago, IL
National Provider Identifier
1902322159
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.009639 Issued in IL
Practice address
333 N Michigan Ave Ste 602
Chicago, IL 60601-3920
Phone
(414) 797-3285
Fax
(312) 312-9688
NPI assigned
Aug 18, 2017
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3491-57 WI
Clinical Psychologist 103TC0700X 3491-57 WI
Clinical Psychologist 103TC0700X 071.009639 IL
Clinical Child & Adolescent Psychologist 103TC2200X 3491-57 WI
Psychologist 103T00000X 071.009639 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 602
Chicago, IL 60601-3920

Mailing address

333 N Michigan Ave Ste 602
Chicago, IL 60601-3920
Phone (414) 797-3285

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3491-57WIMDPsychologist
071.009639ILMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1902322159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013920",
            "telephone_number": "414-797-3285",
            "fax_number": "312-312-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013920",
            "telephone_number": "414-797-3285",
            "fax_number": "312-312-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSANDROV",
        "first_name": "DINKO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3491-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3491-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009639",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "3491-57",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.009639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.