Dylan J Kathol, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036145562 Issued in IL

Practice address

2001 N Halsted St Ste 304
Chicago, IL 60614-4365

Phone

(312) 612-9667

Fax

(312) 872-7660

NPI assigned

Mar 30, 2014

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Creighton University School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Chicago Psychiatric PLLC

  dba North Side Psychiatry

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1245831569

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1114345964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-612-9667",
            "fax_number": "312-872-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-612-9667",
            "fax_number": "312-872-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHOL",
        "first_name": "DYLAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036145562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen McCabe, LCPC, PLLC
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)
• Kathleen R. Brennan, Inc.
• Kathleen S. Blehart LLC
• Benjamin Robinson Katholi, M.D.
• Paru P Kathpalia, MD
• Sagar Kathpalia, MD
• Anastasia Maria Kathrens-Gallardo, MS
• Kathryn Herrera

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.