Active NPI
Robert Edward Puls, PSYD
- Clinical Psychologist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004026
- Practice address
- 10729 163Rd PL
Orland Park, IL 60467-8861 - Phone
- (708) 655-6300
- Fax
- (708) 221-6126
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004026 | IL | Primary |
Addresses
Primary practice location
10729 163Rd PL
Orland Park, IL 60467-8861
Mailing address
10729 163Rd PL
Orland Park, IL 60467-8861
Phone (708) 655-6300
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10729 163Rd PL
Orland Park, IL 60467-8861
Phone (708) 655-6300
111 N Wabash Ave
Suite 1400
Chicago, IL 60602-3074
Phone 31243616571
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Robert E. Puls, P.C. | Clinical | Current | Accepting new patients |
| David Hoover, PSYD, PC | Clinical | Current | Accepting new patients |
Locations
111 N Wabash Ave
Ste 1400
Chicago, IL 60602
Phone (312) 436-1657
5 Old Frankfort Way
Frankfort, IL 60423
Phone (708) 522-4815
10729 163rd Pl
Orland Park, IL 60467
Phone (708) 655-6300
Organizations & group practices 2
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.
-
- Clinical Psychologist
- New Lenox, IL
- NPI 1093839433
-
- Clinical Psychologist
- Chicago, IL
- NPI 1619217064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1992850044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10729 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-655-6300",
"fax_number": "708-221-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-655-6300",
"fax_number": "708-221-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULS",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.