Kathryn Brandenborg-Conti, PSY.D., MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009514 Issued in IL

Practice address

3523 N Seeley Ave
Chicago, IL 60618-6115

Phone

(872) 216-9066

NPI assigned

Aug 4, 2014

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• KBC Consulting, PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1225870983
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1275942229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186115",
            "telephone_number": "763-229-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186115",
            "telephone_number": "872-216-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBORG-CONTI",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nechama Yaffa Brand, DMD
• Pamela Anne Brand, M.A., PSY.D., LMFT
• Holley Marie Brandchaft-White, LCSW
• Elizabeth Brandel, PT
• Taylor Jordan Brandenberger
• Julie Brandenburg, PHD, HSPP
• Molly N Brandenburg, DPT
• Ryan Brander, ATC
• Victoria Brander, MD
• Cassandra Margaret Brandes, PHD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.