Individual provider Active NPI

Israel David Oler, PH.D.

  • Clinical Psychologist
  • Deerfield, IL
National Provider Identifier
1972610285
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006411 Issued in IL
Practice address
1020 Milwaukee Ave
Suite 153
Deerfield, IL 60015-3513
Phone
(847) 951-2570
Fax
(847) 520-9511
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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 071006411 IL Primary

Addresses

Primary practice location

1020 Milwaukee Ave
Suite 153
Deerfield, IL 60015-3513

Mailing address

14 Chicory LN
Riverwoods, IL 60015-3544
Phone (847) 951-2570

Other identifiers 1

IdentifierTypeStateIssuer
0004932532OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. David Oler Professional name

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
I20060303000366 IL Practitioner - Clinical Psychologist 1355357070 Practice locations: Deerfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1020 Milwaukee Ave
Suite 119
Deerfield, IL 60015-3563
Phone (847) 951-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1972610285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHICORY LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153544",
            "telephone_number": "847-951-2570",
            "fax_number": "847-520-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE",
            "address_2": "SUITE 153",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153513",
            "telephone_number": "847-951-2570",
            "fax_number": "847-520-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLER",
        "first_name": "ISRAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004932532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "OLER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.