Individual provider Active NPI

Nancy A Kunkel, PSYD

  • Clinical Psychologist
  • Lombard, IL
National Provider Identifier
1235292103
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005295 Issued in IL
Practice address
2200 S Main St Ste 113
Lombard, IL 60148-5364
Phone
(630) 209-0923
NPI assigned
Dec 19, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005295 IL Primary

Addresses

Primary practice location

2200 S Main St Ste 113
Lombard, IL 60148-5364

Mailing address

PO Box 1192
Barrington, IL 60011-1192
Phone (630) 446-0646

Other practice location 1

777 Lake Zurich Rd Ste 110F
Barrington, IL 60010-3122
Phone (630) 209-0923

Other practice location 2

PO Box 1192
Barrington, IL 60011-1192
Phone (630) 446-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20101029000138 IL Practitioner - Clinical Psychologist 1951595412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychone PCGroup PAC ID 6709900962, 2 clinicians

Practice addresses (Care Compare)

130 Harrison St
Barrington, IL 60010-3007
Phone (847) 382-5688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005295ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy a Kunkel P C Clinical Past Accepting new patients
Compassionate Communities for Children Clinical PastSince Jul 2, 2023 Accepting new patients
Hull Psychological Services LLC Clinical Past Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1235292103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600111192",
            "telephone_number": "630-446-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST STE 113",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485364",
            "telephone_number": "630-209-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Lake Zurich Rd Ste 110F",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600103122",
            "country_code": "US",
            "telephone_number": "630-209-0923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 1192",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600111192",
            "country_code": "US",
            "telephone_number": "630-446-0646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.