Provider Demographics
NPI:1053773226
Name:INSIGHT PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:USNDEK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-450-8049
Mailing Address - Street 1:6031 N MARMORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-3903
Mailing Address - Country:US
Mailing Address - Phone:773-450-8049
Mailing Address - Fax:
Practice Address - Street 1:6031 N MARMORA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3903
Practice Address - Country:US
Practice Address - Phone:773-450-8049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
AZ4703251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health