Active NPI
Robert Lawrence Hayden, PHD
- Psychologist
- Evanston, IL
National Provider Identifier
1922816776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.011220
- Practice address
- 708 Church St
Evanston, IL 60201-3875 - Phone
- (859) 353-7723
- NPI assigned
- Dec 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.011220 | IL | Primary |
Addresses
Primary practice location
708 Church St
Evanston, IL 60201-3875
Mailing address
485 Jackson BR
Richmond, KY 40475-9416
Phone (859) 353-7723
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521002389 | IL | Practitioner - Clinical Psychologist | 1951820117 | Practice locations: Evanston, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
708 Church St
Evanston, IL 60201-3840
Phone (859) 353-7723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.011220 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1922816776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 JACKSON BR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759416",
"telephone_number": "859-353-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 CHURCH ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013875",
"telephone_number": "859-353-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "ROBERT",
"middle_name": "LAWRENCE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.011220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
- Anastasia Marie Haupt, D.D.S.
- David Lang Hauser, PH.D.
- Suzanne Nicole Hawley, LCSW
- Ilda Haxhistasa, PHARMD
- Heidi Johnston Hayden, LCPC
- Pamela W Hazard, M.D.
- Christine Hazelett, LCPC ATR-BC
- Health Solutions Comprehensive Quality Care LLC (Health Solutions)
- Takijah T. Heard, MD
- Heart of Transformation Wellness Institute SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.