Active NPI
Kenneth Robert Lofland, PHD
- Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071005140
- Practice address
- 233 E Erie St
#204
Chicago, IL 60611-2926 - Phone
- (847) 920-4644
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 | 071005140 | IL | Primary |
Addresses
Primary practice location
233 E Erie St
#204
Chicago, IL 60611-2926
Mailing address
PO Box 1592
Deerfield, IL 60015-6009
Phone (847) 920-4644
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5 Revere Dr
Suite 200
Northbrook, IL 60062-8000
Phone (847) 920-4644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071005140 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Integrative Healthcare | Current | Accepting new patients | |
| The Pain & Rehabilitation Clinic of Chicago | Psychologist | Past | Accepting new patients |
| M.H.R.C. Inc. | Past | Accepting new patients |
Locations
500 Lake Cook Rd
Ste 350
Deerfield, IL 60015
Phone (847) 363-5845
1800 Hollister Dr
Ste 206
Libertyville, IL 60048
Phone (847) 549-1609
185 Milwaukee Ave
Ste 230
Lincolnshire, IL 60069
Phone (847) 883-0077
5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206
455 S Roselle Rd
Ste 104
Schaumburg, IL 60193
Phone (847) 352-5511
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Schaumburg, IL
- NPI 1447547211
-
- Clinical Psychologist
- Rockford, IL
- NPI 1235243510
-
- Psychologist
- Chicago, IL
- NPI 1346296894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1255406567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1592",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600156009",
"telephone_number": "847-920-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E ERIE ST",
"address_2": "#204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112926",
"telephone_number": "847-920-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFLAND",
"first_name": "KENNETH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071005140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.