Active NPI
Kavita K Ajmere, PH.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1144538356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.007003
- Practice address
- 233 E Erie St
Chicago, IL 60611-2926 - Phone
- (314) 750-3699
- NPI assigned
- Sep 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.007003 | IL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 071.007003 | IL |
Addresses
Primary practice location
233 E Erie St
Chicago, IL 60611-2926
Mailing address
233 E Erie St
Chicago, IL 60611-2926
Phone (314) 750-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 28, 2025 through May 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007003 | IL | MD | Clinical Child & Adolescent Psychologist |
| 26691 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1144538356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E ERIE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112926",
"telephone_number": "314-750-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E ERIE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112926",
"telephone_number": "314-750-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJMERE",
"first_name": "KAVITA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.007003",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IL",
"license": "071.007003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.