Organization Active NPI

R Scott Furda PSYD LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1962813550
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004843 Issued in IL
Legal business name
R SCOTT FURDA PSYD LLC
Practice address
7447 W Talcott Ave Ste 259
Chicago, IL 60631-3718
Phone
(773) 631-8329
Fax
(888) 940-2010
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. R Scott Furda, PSYDNPI 1003858572
Title
President
Phone
(773) 631-8329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004843 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 259
Chicago, IL 60631-3718

Mailing address

7447 W Talcott Ave Ste 259
Chicago, IL 60631-3718
Phone (773) 631-8329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527000653 IL Part B Supplier - Clinic/Group Practice 3678796315 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

7447 W Talcott Ave
Ste 333
Chicago, IL 60631
Phone (773) 631-8337

7447 W Talcott Ave
Ste 259
Chicago, IL 60631
Phone (773) 631-8329

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1962813550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 259",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313718",
            "telephone_number": "773-631-8329",
            "fax_number": "773-631-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 259",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313718",
            "telephone_number": "773-631-8329",
            "fax_number": "888-940-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SCOTT FURDA PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "FURDA",
        "authorized_official_first_name": "R SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-631-8329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004843",
            "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 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.