MITCHELL BRADLEY HOBERMAN (NPI# 1649428889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649428889 |
| Entity Type | Individual |
| Full Name | MITCHELL BRADLEY HOBERMAN |
| Credential | PSY.D. |
| Practice Address |
1415 Bond St Suite #127 Naperville IL 60563-2388 |
| Mailing Address |
8952 Samoset Trl Skokie IL 60076-1914 |
| Practice Telephone | 6303559002 |
| Practice Fax Number | 6303559012 |
| Mailing Telephone | 8476914319 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008992 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1415 BOND ST SUITE #127 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-2388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457570251 | Dr. Susan Myket, P.C. | Psychologist | 1415 Bond St, Suite 127, Naperville, IL 60563-2388 | 2007-04-24 |
| 1548703549 | Phoenix Chiropractic LLC | Chiropractor | 1415 Bond St, Suite 171, Naperville, IL 60563-2388 | 2016-11-22 |
| 1225583529 | Leah Guidolin | Chiropractor | 1415 Bond St, 171, Naperville, IL 60563-2388 | 2016-08-17 |
| 1568858496 | Karyn Brasky Kozy | Psychologist | 1415 Bond St, Suite 127, Naperville, IL 60563-2388 | 2015-04-07 |
| 1881087633 | Jessica L Enderby | Chiropractor | 1415 Bond St, Suite 171, Naperville, IL 60563-2388 | 2015-03-17 |
| 1326308545 | New Day Treatment Program PC | Psychologist | 1415 Bond St, Suite 127, Naperville, IL 60563-2388 | 2012-05-22 |
| 1730478843 | Melissa Katz | Psychologist | 1415 Bond St, Naperville, IL 60563-2388 | 2011-03-30 |
| 1053614784 | Glen J Veed | Psychologist | 1415 Bond St, Suite 127, Naperville, IL 60563-2388 | 2010-12-20 |
| 1194051425 | Teri Hull | Psychologist | 1415 Bond St, Suite 127, Naperville, IL 60563-2388 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1194366930 | Miranda Meadows | Psychologist | 121 N Washington St Ste 2n, Naperville, IL 60540-4558 | 2019-10-02 |
| 1750854204 | Melissa Geraghty | Psychologist | 750 E Diehl Rd Ste 127, Naperville, IL 60563-2384 | 2019-01-08 |
| 1659852044 | Jesse R Fleck | Psychologist | 212 Elmwood Dr, Naperville, IL 60540-7507 | 2018-08-24 |
| 1174018873 | Debra Gomez and Associates, Inc. | Psychologist | 1607 N Aurora Rd Ste 204, Naperville, IL 60563-2786 | 2018-06-25 |
| 1225491848 | Ashley Marie Rolnik | Psychologist | 3735 Mandeville Ln, Naperville, IL 60564-6130 | 2016-03-31 |
| 1205253762 | Victoria Marks | Psychologist | 475 River Bend Rd Ste 400a, Naperville, IL 60540-5263 | 2014-03-23 |
| 1518208560 | Kyle A Weber Phd LLC | Psychologist | 1555 Naperville Wheaton Road, Suite 201, Naperville, IL 60563 | 2013-03-14 |
| 1255679544 | David Edward Nowak | Psychologist | 143 Pier Ct, Naperville, IL 60565-1476 | 2013-01-22 |
| 1396094959 | Matter Clinical Services, P.C. | Psychologist | 475 River Bend Road, Suite 304, Naperville, IL 60540 | 2012-08-29 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on MITCHELL BRADLEY HOBERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.