Active NPI
Harry Kent, PHD
- Clinical Psychologist
- Elgin, IL
National Provider Identifier
1154437275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 77 N Airlite St
Provena St Joseph Hospital
Elgin, IL 60123-4912 - Phone
- (847) 695-3200
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
77 N Airlite St
Provena St Joseph Hospital
Elgin, IL 60123-4912
Mailing address
3501 N Southport Ave
Suite 272
Chicago, IL 60657
Phone (773) 398-2415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05S32067 | Other | IL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154437275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 N SOUTHPORT AVE",
"address_2": "SUITE 272",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-398-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 N AIRLITE ST",
"address_2": "PROVENA ST JOSEPH HOSPITAL",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234912",
"telephone_number": "847-695-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "HARRY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05S32067",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.