Individual provider Active NPI

Amy Kalten, M.A.; ED. S.

  • School Psychologist
  • Downers Grove, IL
National Provider Identifier
1013639178
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2499206 Issued in IL
Practice address
6835 Fairmount Ave
Downers Grove, IL 60516-3633
Phone
(630) 719-5825
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X IL
School Psychologist 103TS0200X 2499206 IL Primary

Addresses

Primary practice location

6835 Fairmount Ave
Downers Grove, IL 60516-3633

Mailing address

6835 Fairmount Ave
Downers Grove, IL 60516-3633
Phone (630) 719-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2499206ILMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1013639178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 FAIRMOUNT AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163633",
            "telephone_number": "630-719-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 FAIRMOUNT AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163633",
            "telephone_number": "630-719-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTEN",
        "first_name": "AMY",
        "credential": "M.A.; ED. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2499206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.