Kathryn Heather Schreck, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009811 Issued in IL

Practice address

6250 W North Ave
Chicago, IL 60639-3861

Phone

(773) 622-6218

Fax

(773) 622-7440

NPI assigned

Aug 1, 2018

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 names 1

• Kathryn Heather Goesel Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.schreck.p1@direct.northshorehealth.nextgenshare.com

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.

• Northshore Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300

  Single Specialty

  Medicare reassignment NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1336992999
  NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portage, IN
  • NPI 1407061336
  NPD
• Centro Castillo for Personal and Family Wellbeing, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1598942484
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1205314226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393861",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393861",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083242",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3166 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573133",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "KATHRYN",
        "middle_name": "HEATHER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GOESEL",
            "middle_name": "HEATHER",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Schrand
• Dean E. Schraufnagel
• Anne Miriam Schrayer, PSYD
• Schreck Therapy Services LLC
• Heidi Ann Schreck
• Zachary James Schreckenberger, MD, MS
• Elisabeth Schreiber
• Gary J Schreiber, M.D.
• Janis Schreiber
• Jennifer L Schreiber, CPNP

• 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 Aug 1, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.