Individual provider Active NPI

Kristen Michelle Klipfel, PH.D.

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1245853977
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.010276 Issued in IL
Practice address
65 E Wacker PL
Chicago, IL 60601-7296
Phone
(716) 553-2766
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20043340A IN
Clinical Neuropsychologist 103G00000X 071.010276 IL Primary

Addresses

Primary practice location

65 E Wacker PL
Chicago, IL 60601-7296

Mailing address

1055 W Wellington Ave
Chicago, IL 60657-4325
Phone (716) 553-2766

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
I20260105001982 IL Practitioner - Clinical Psychologist 1355837816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
R Franklin University of Med & Sci/Chicago Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 N Michigan Ave
Suite 912
Chicago, IL 60601-3965
Phone (312) 332-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.010276ILMDClinical Neuropsychologist
20043340AINMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldstein Neuropsychologists PC Clinical Neuropsychologist CurrentSince Nov 1, 2025 Accepting new patients

Locations

333 N Michigan Ave
Ste 912
Chicago, IL 60601
Phone (312) 332-6100

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1245853977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "716-553-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E WACKER PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017296",
            "telephone_number": "716-553-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIPFEL",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20043340A",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.010276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.