Patricia Kimbel PSYD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PATRICIA KIMBEL PSYD PC

Practice address

1580 S Milwaukee Ave Ste 309
Libertyville, IL 60048-3773

Phone

(773) 490-7778

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Kimbel, PSYDNPI 1790707610

Title

President

Phone

(773) 490-7778

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia K Kimbel, PSY.D.

  • Clinical Psychologist
  • Gurnee, IL
  • NPI 1790707610
  Authorized official Same address or phone
• Jan Eileen Gosselin, LCPC LICENSED CLINIC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1861679615
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1215696752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 N RIDGEWAY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184014",
            "telephone_number": "773-490-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 309",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483773",
            "telephone_number": "773-490-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA KIMBEL PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "KIMBEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-490-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha D Patel, MD
• Paresh Patel, PHARMACIST
• Rachel E Patel, PA-C
• Radhika Patel
• Shikha Patel, NP
• Shayle B Patzik, MD
• Hannah Paullin, M.ED
• Christ Pavlatos, MD
• Martha Pawlukowsky, NP
• Elizabeth Starker Pealy, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.