Samantha C Kurkjian, CP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010110 Issued in IL

Practice address

111 Dean St
Woodstock, IL 60098-3220

Phone

(847) 802-4058

Fax

(815) 344-5072

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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

• TMS Psychological Services PC

  • Clinical Psychologist
  • Hinsdale, IL
  • NPI 1487760542
  NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1104557677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 WILLEY ST",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601368000",
            "telephone_number": "630-251-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983220",
            "telephone_number": "847-802-4058",
            "fax_number": "815-344-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKJIAN",
        "first_name": "SAMANTHA",
        "middle_name": "C",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly K Kronn, RN
• Janine A. Krueger, PHARM.D.
• Cathy A Kruse
• Agnieszka Krzeminska, LCPC, NCC, CCMHC
• Emily Kunash, M.A.
• Lake McHenry Pathology Associates LTD
• Nicole Lamarca, QMHP
• Fleur V Langner, PT, DPT
• Laura M Larkner, DO
• Astrid Larsen, PHD, LCPC, MBA

• Clinical Psychologist in Woodstock, IL
• Providers in Woodstock, 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 23, 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.