Individual provider Active NPI

Yehuda Krohn, PSY.D.

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1245360858
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
6677 N Lincoln Ave
Suite 232
Lincolnwood, IL 60712-3619
Phone
(847) 763-1184
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 IL Primary

Addresses

Primary practice location

6677 N Lincoln Ave
Suite 232
Lincolnwood, IL 60712-3619

Mailing address

6619 N Richmond St
Chicago, IL 60645-4210

Other identifiers 1

IdentifierTypeStateIssuer
1634098OtherILBC BS PROVIDER NUMBER

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
I20041221000905 IL Practitioner - Clinical Psychologist 5294793352 Reassigns benefits to 1 organization
Practice locations: Chicago, IL; Lincolnwood, IL; Hickory Hills, IL; Cicero, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6677 N Lincoln Ave
Suite 232
Lincolnwood, IL 60712-3634
Phone (847) 763-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yehuda Krohn, Psy.D., P.C. Clinical CurrentSince Jul 1, 2016 Accepting new patients

Locations

5448 N Broadway St
Chicago, IL 60640
Phone (773) 334-2224

5825 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-9120

9246 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 598-4040

6677 N Lincoln Ave
Ste 232
Lincolnwood, IL 60712
Phone (847) 679-1557

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245360858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 N LINCOLN AVE",
            "address_2": "SUITE 232",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123619",
            "telephone_number": "847-763-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROHN",
        "first_name": "YEHUDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "1634098",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.