Kristen Sudnik

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1826202 Issued in IL

Practice address

2334 W Lawrence Ave Ste 212
Chicago, IL 60625-1037

Phone

(773) 998-4123

NPI assigned

Oct 2, 2017

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)

Not enrolled

State licenses

Practice roles

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.

• Rise Through Learning Co.

  • School Psychologist
  • Chicago, IL
  • NPI 1316457542
  NPD (past) Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114437357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 N SEMINARY AVE APT 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573359",
            "telephone_number": "248-821-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251037",
            "telephone_number": "773-998-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3159 N Seminary Ave Apt 307",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573359",
            "country_code": "US",
            "telephone_number": "248-821-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDNIK",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1826202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepshika Sudhakar
• Stacey Sudholt, MD
• Gabrielle Maya Sudilovsky
• Neeli Sudin, NP-C
• Caitlyn Sudkamp, OD
• Sue Bae, PHD, PC
• Sue Ellen Krause, PH.D. (Krause Speech and Language Services)
• Vithida Sueblinvong, MD
• Suede Relationship Therapy PLLC
• Alexandra Sueldo, MD

• School Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.