Kristy Kipka, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1914 Trafalgar Dr
Romeoville, IL 60446-4995

Phone

(773) 593-6856

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1033319934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 TRAFALGAR DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464995",
            "telephone_number": "773-593-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 TRAFALGAR DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464995",
            "telephone_number": "773-593-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPKA",
        "first_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Ann Kijinski, D.C.
• Catherine Kiley, FNP
• Eric Kim, DPT
• Shawntay King
• Dominique Kinney, COTA/L
• Meghan Kloss
• Koah Chiropractic LLC (KOAH Chiropractic)
• Joanna Koc, PHARMD
• Lukasz Konopka
• Paulina Krasniewska-Worwa, RN, BSN

• Clinical Psychologist in Romeoville, IL
• Providers in Romeoville, 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 19, 2007; 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.