Healthcare Provider Details

I. General information

NPI: 1053773226
Provider Name (Legal Business Name): INSIGHT PSYCHOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 N LAKE SHORE DR STE 201
CHICAGO IL
60613-5302
US

IV. Provider business mailing address

3660 N LAKE SHORE DR STE 210
CHICAGO IL
60613-5302
US

V. Phone/Fax

Practice location:
  • Phone: 773-450-8049
  • Fax:
Mailing address:
  • Phone: 773-450-8049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number4703
License Number StateAZ

VIII. Authorized Official

Name: DAVID CHARLES USNDEK
Title or Position: OWNER/PSY.D
Credential: PSY.D
Phone: 773-450-8049