Individual provider Active NPI

Kristen Suing, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1205362977
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010182 Issued in IL
Practice address
600 S Washington St Ste 105
Naperville, IL 60540-6665
Phone
(630) 206-4060
NPI assigned
May 2, 2017
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016190 MI
Clinical Psychologist 103TC0700X 071.010182 IL Primary

Addresses

Primary practice location

600 S Washington St Ste 105
Naperville, IL 60540-6665

Mailing address

21419 S Jeffrey Dr
Matteson, IL 60443-2431
Phone (612) 382-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301016190MIMDPsychologist
071.010182ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hartgrove, Inc. Clinical Current Accepting new patients
Uhs of Hartgrove, Inc Psychologist CurrentSince Feb 1, 2020 Accepting new patients
Konick and Associates, PC CurrentSince Jun 9, 2024 Accepting new patients
Uhs of Hartgrove, Inc Psychologist CurrentSince Feb 1, 2020 Accepting new patients

Locations

1111 E 87th St
Ste 300
Chicago, IL 60619
Phone (773) 413-1818

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

600 S Washington St
Ste 105
Naperville, IL 60540
Phone (630) 206-4060

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1205362977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21419 S JEFFREY DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432431",
            "telephone_number": "612-382-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WASHINGTON ST STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406665",
            "telephone_number": "630-206-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUING",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016190",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.