John B. Houck, PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

071-001927 Issued in IL

Practice address

3633 Breakers Dr Apt 329
Olympia Fields, IL 60461-1063

Phone

(773) 493-1330

Fax

(707) 549-4532

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1982697124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 BREAKERS DR APT 329",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611063",
            "telephone_number": "773-493-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 BREAKERS DR APT 329",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611063",
            "telephone_number": "773-493-1330",
            "fax_number": "707-549-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "JOHN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071001927",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071001927",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "071-001927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST LIC",
            "identifier": "071-001927",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Leroy Hollandsworth, D.O.
• Wynter Jena Hollie, PHARMD
• James J Holway
• Home Dialysis Services Olympia Fields LLC
• Pamela Ruth Horbach, DPT
• Quinci Howard
• Cherie N Hunt, CRNA
• Daizha Hunter
• Mohammed Sadique Hussain, MD
• Ahmed Abdellatif Hussein, MD

• Specialist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.