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Deactivated NPI 1114016797 Deactivated / Inactive NPI Male Practitioner

David Dean Brockman

Psychologist - Psychoanalysis • Glenview, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Brockman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date September 30, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

David Brockman was a registered Psychologist - Psychoanalysis practicing in Glenview, IL. Throughout an active medical career spanning 13 years, David Brockman provided care at the practice location at 1020 KENILWORTH LN until profile deactivation on 2019-09-30.

Practice Location & Contact Primary Location

Practice Address

1020 Kenilworth Ln

Glenview, IL 600251918

Telephone 8477290932
Fax 8477292519
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Psychoanalysis in Glenview, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 45.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Glenview, IL (10 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Psychoanalysis Primary Specialty

NUCC Taxonomy Code: 103TP0814X

A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 30, 2019

Record deactivated on September 30, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1020 KENILWORTH LN, GLENVIEW, IL 600251918 (Tel: 8477290932)

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Updated Business Mailing Address July 08, 2007

Registered at 1020 KENILWORTH LN, GLENVIEW, IL 600251918 (Tel: 8477290932)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID BROCKMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist

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Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114016797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Deactivation Date: September 30, 2019

Mailing Address

1020 Kenilworth Ln

Glenview, IL 600251918

Phone: 8477290932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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