Lizabeth A. Kollmorgen, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005260 Issued in IL

Practice address

910 Skokie Blvd.
Suite 101
Northbrook, IL 60062-4032

Phone

(847) 480-9999

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kollmorgen & Natta, P.C.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1346427481
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1174654990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD.",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD.",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMORGEN",
        "first_name": "LIZABETH",
        "middle_name": "A.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER ID",
            "identifier": "21620045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Kolas, LPCC
• Elena K Koles, M.D.
• Linda Marie Kolka, APN
• Kristen Koll
• Kollmorgen & Natta, P.C.
• Olivia Kolomiyets
• Nicolette Renee Komie, DEVELOPMENTAL THERAP
• Demetra Kontakos, RBT-18-69856
• Naomi Kopinsky
• Michael Nicholas Korompilas, D.D.S.

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.