Kimberly A Weitl, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007247 Issued in IL

Practice address

2815 N Kimball Ave
2ND Floor
Chicago, IL 60618-7520

Phone

(773) 278-7995

Fax

(773) 278-7995

NPI assigned

Mar 23, 2012

Last updated

Jan 10, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Behavioral Health and Education Specialists Inc

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1285812834
  NPD (past)
• Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1386059996
  NPD (past)

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1194091140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 N KIMBALL AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187520",
            "telephone_number": "773-278-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 N KIMBALL AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187520",
            "telephone_number": "773-278-7995",
            "fax_number": "773-278-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Herman Weissman, MD
• Mary Enriquez Weist, ARNP
• Jeremy Weisz, D.C.
• Joshua Richard Weith, PHARMD
• Rachel Weithman
• Denise Ann Weitzel, LCSW
• Emma Weitzel
• Melissa Gail Weitzel, PA-C
• Sigmund Weitzman, MD
• Susan Weitzman, PH.D., L.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.