Active NPI
Linda Hellmich, PHD
- Psychologist
- Dixon, IL
National Provider Identifier
1285093849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071009241
- Practice address
- 403 E. 1St St.
KSB Medical Group
Dixon, IL 61021-6113 - Phone
- (815) 285-5638
- Fax
- (815) 285-5850
- NPI assigned
- Feb 11, 2016
- 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 | 071009241 | IL | Primary |
Addresses
Primary practice location
403 E. 1St St.
KSB Medical Group
Dixon, IL 61021-6113
Mailing address
403 E. 1St Street
Katherine Shaw Bethea Hospital
Dixon, IL 61021
Phone (815) 285-5638
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009241 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KSB Medical Group, Inc. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Dixon, IL
- NPI 1073592119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1285093849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E. 1ST STREET",
"address_2": "KATHERINE SHAW BETHEA HOSPITAL",
"city": "DIXON",
"state": "IL",
"postal_code": "61021",
"telephone_number": "815-285-5638",
"fax_number": "815-285-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E. 1ST ST.",
"address_2": "KSB MEDICAL GROUP",
"city": "DIXON",
"state": "IL",
"postal_code": "610216113",
"telephone_number": "815-285-5638",
"fax_number": "815-285-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLMICH",
"first_name": "LINDA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071009241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.