JAMES DAVID (PH.D.) – Clinical Psychologist, NPI 1962532192

JAMES DAVID (PH.D.) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071.008099 (IL). The NPI Number for JAMES DAVID (PH.D.) is 1962532192

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JAMES DAVID (PH.D.)
NPI
1962532192
Phone
(872) 223-2052
Address
2835 N SHEFFIELD AVE
Enumeration Date
6 March 2007
Last Update Date
30 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477262400
Graduation Year
1997 (29 years ago)
PAC ID
9638363443
Group Practice PAC ID
5991885675
Professional Enrollment ID
I20160608000646
Address ID
IL600471210LA1XXXXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for JAMES DAVID (PH.D.)

  • 2835 N SHEFFIELD AVE

    SUITE 208

    CHICAGO, IL 606575081

    Phone: (872) 223-2052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160608000646IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60657)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991885675View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference JAMES DAVID (PH.D.)?
For JAMES DAVID (PH.D.), use NPI 1962532192 as the unique 10-digit identifier.
Is JAMES DAVID (PH.D.) still an active registrant?
JAMES DAVID (PH.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for JAMES DAVID (PH.D.)?
At a glance, JAMES DAVID (PH.D.) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JAMES DAVID (PH.D.) associated with Chicago?
Public fields place JAMES DAVID (PH.D.) around Chicago, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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