Active NPI
Kirsten Marie Raether, PSYD
- Psychologist
- Darien, IL
National Provider Identifier
1235984170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 7900 Cass Ave Ste 200
Darien, IL 60561-5073 - Phone
- (630) 428-7890
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Mailing address
706 Dover Way
Shorewood, IL 60404-0550
Phone (815) 600-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Psychologist | Current | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 300
Bloomington, IL 61704
Phone (309) 827-2962
7900 Cass Ave
Ste 200
Darien, IL 60561
Phone (630) 581-7134
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1235984170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DOVER WAY",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604040550",
"telephone_number": "815-600-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 CASS AVE STE 200",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615073",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAETHER",
"first_name": "KIRSTEN",
"middle_name": "MARIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.