Individual provider Active NPI

Katherine B Klehr, PHD

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1144325820
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003859 Issued in IL
Practice address
1460 Techny Rd
Northbrook, IL 60062-5447
Phone
(847) 480-4004
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071003859 IL Primary

Addresses

Primary practice location

1460 Techny Rd
Northbrook, IL 60062-5447

Mailing address

1460 Techny Rd
Northbrook, IL 60062-5447
Phone (847) 480-4004

Other identifiers 1

IdentifierTypeStateIssuer
1632279OtherILBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000781 IL Practitioner - Clinical Psychologist 9234265281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

336 Hazel Ave
Unit 440
Glencoe, IL 60022-0817
Phone (847) 480-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine B Klehr PHD LLC Clinical CurrentSince Dec 14, 2009 Accepting new patients

Locations

336 Hazel Ave
Unit 440
Glencoe, IL 60022
Phone (847) 480-4004

1460 Techny Rd
Northbrook, IL 60062
Phone (847) 480-4004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1144325820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-480-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-480-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEHR",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1632279",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.