Active NPI
Kris Susan Umfress, PH.D.
- Clinical Psychologist
- Park Ridge, IL
National Provider Identifier
1144309535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006660
- Practice address
- 1675 Dempster St
Suite Y2-108
Park Ridge, IL 60068-1110 - Phone
- (847) 723-6183
- Fax
- (847) 723-6170
- NPI assigned
- Nov 4, 2006
- Last updated
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 071006660 | IL | Primary |
Addresses
Primary practice location
1675 Dempster St
Suite Y2-108
Park Ridge, IL 60068-1110
Mailing address
836 Crossland Dr
Grayslake, IL 60030-7810
Phone (847) 723-6183
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | kumfress249155@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071006660 | IL | MD | Clinical Psychologist |
Interoperability endpoints
- kumfress249155@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1144309535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 CROSSLAND DR",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307810",
"telephone_number": "847-723-6183",
"fax_number": "847-723-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 DEMPSTER ST",
"address_2": "SUITE Y2-108",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681110",
"telephone_number": "847-723-6183",
"fax_number": "847-723-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMFRESS",
"first_name": "KRIS",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006660",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1675 Dempster St",
"address_2": "Suite Y2-108",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kumfress249155@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1675 Dempster St # Y2-108",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.