Active NPI
Ruth Boutin Kuncel, PH.D.
- Clinical Psychologist
- Hinsdale, IL
National Provider Identifier
1104990043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-002327
- Practice address
- 911 N Elm St
Suite 320
Hinsdale, IL 60521-3634 - Phone
- (630) 325-4310
- Fax
- (630) 617-5751
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-002327 | IL | Primary |
Addresses
Primary practice location
911 N Elm St
Suite 320
Hinsdale, IL 60521-3634
Mailing address
911 N Elm St
Suite 320
Hinsdale, IL 60521-3634
Phone (630) 325-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 21, 2016 through Feb 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-002327 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104990043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "SUITE 320",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634",
"telephone_number": "630-325-4310",
"fax_number": "630-617-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "SUITE 320",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634",
"telephone_number": "630-325-4310",
"fax_number": "630-617-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNCEL",
"first_name": "RUTH",
"middle_name": "BOUTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-002327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.