Neal Kirschenbaum, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

6524 N Drake Ave
Lincolnwood, IL 60712-4018

Phone

(847) 673-5255

Fax

(847) 673-2992

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033294913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 N DRAKE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124018",
            "telephone_number": "847-673-5255",
            "fax_number": "847-673-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 N DRAKE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124018",
            "telephone_number": "847-673-5255",
            "fax_number": "847-673-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHENBAUM",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL.",
            "identifier": "1672609",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL.",
            "identifier": "1672610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyun Helen Kim, ETC
• Kathy Kim, OTD
• Kwang Kim, RPH
• Sorah Kim
• Kintsugi Psychiatry Collective, PLLC
• Rebecca Klinghofer
• Courtney Elizabeth Knowles, R.D., L.D.N.
• Conner T Kohen, BA
• Tsipporah Kohen, MS, LCPC
• Caroline Kohlhapp, D.O.

• Clinical Psychologist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.