Kevin P Sprenkle, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010141 Issued in IL

Practice address

2135 City Gate LN Ste 300
Naperville, IL 60563-3066

Phone

(630) 755-5300

Fax

(331) 236-0370

NPI assigned

Oct 21, 2019

Last updated

Jun 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.kevinsprenkle@146897.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspire Therapeutic Services. PLLC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1093358954
  NPD Authorized official
• Inspire Therapeutic Services, PLLC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1356985535
  Authorized official Same address or phone
• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1033752282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605420140",
            "telephone_number": "630-755-5300",
            "fax_number": "331-236-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633066",
            "telephone_number": "630-755-5300",
            "fax_number": "331-236-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENKLE",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.01041",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanie Breanne Spoljaric, MPT
• Emma Spoo
• Sportco Rehabilitation PC
• Spot on Therapies, LLC
• Todd Willis Spragg, DDS
• Nicole M Springer-Iannantuoni, PSY.D.
• Daniel Sproul, DSL, IHP
• Natalie Ann Sprovieri-Karlovic, LPC
• Rey Arnold Sriaroon, MD
• Jayanthi Sridhar, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.