Marissa Esther Kaelter, ED.S., M.ED., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

2400 Ravine Way Ste 600
Glenview, IL 60025-7615

Phone

(847) 730-3042

Fax

(847) 730-3382

NPI assigned

Aug 12, 2022

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

• Ms. Marissa Esther Schneider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Courage to Connect Mental Health Center

  • Clinical Psychologist
  • Glenview, IL
  • NPI 1154768471
  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1225766637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CAVELL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352216",
            "telephone_number": "773-484-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RAVINE WAY STE 600",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257615",
            "telephone_number": "847-730-3042",
            "fax_number": "847-730-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELTER",
        "first_name": "MARISSA",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "ED.S., M.ED., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "SCHNEIDER",
            "middle_name": "ESTHER",
            "prefix": "MS.",
            "credential": "M.ED., NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Laverdiere Beck DDS, LTD.
• Margaret L. Jung, O.T.
• Peter Jung, PHARMD
• Sakina S Kadakia, M.D.
• Kinga Kadela, P.T.
• Isidora J Kafkas, PA-C
• Marjorie Kahle, OT
• Charles Bader Kahn, M.D.
• Julie Lynn Kaiser, PT
• Liliana Kajcic, LCPC

• School Psychologist in Glenview, IL
• Providers in Glenview, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.