Natalia Kaczmarek, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

900 Skokie Blvd Ste 115
Northbrook, IL 60062-4014

Phone

(312) 870-0120

NPI assigned

Jun 6, 2017

Last updated

Sep 29, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Natalia Kaczmarek LLC

  dba Indigo Therapy group

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1508676982
  NPD Authorized official
• Natalia Kaczmarek PLLC

  dba Indigo Therapy Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1982193835
  NPD Authorized official
• Magnolia Wellness Center

  • Clinical Psychologist
  • Lake Villa, IL
  • NPI 1740986421
  NPD (past)
• Marianna Tsaran MD SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1134283203
  NPD (past)
• In Home Health, LLC

  dba ProMedica Hospice (Eau Claire)

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1710692488
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1215466032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 115",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "312-870-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 115",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "312-870-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "666 Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622727",
            "country_code": "US",
            "telephone_number": "847-800-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Cook Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600891929",
            "country_code": "US",
            "telephone_number": "847-979-0268 x5",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.kaczmarek@therapyindigo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "900 Skokie Blvd Ste 115",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600624014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah E Just
• Autumn Rae Justus, RBT-19-85522
• JW Center for Spinal Health
• K & Y Healthcare S.C.
• Steven Neal Kacel, D.D.S.
• Sierra M Kadalage
• Kristin Elizabeth Kadolph
• Rachel Kahan, LPC
• Joshua Kahn, MD
• Candace Cheyenne Kaiser

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.