Kathleen Kashima, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005479 Issued in IL

Practice address

912 S Wood St
Chicago, IL 60612-4300

Phone

(312) 996-2200

Fax

(312) 996-9525

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1295190478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 W POLK ST # MC785",
            "address_2": "112 CMW",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124355",
            "telephone_number": "312-996-2450",
            "fax_number": "312-413-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-996-2200",
            "fax_number": "312-996-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIMA",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Sports Acupuncture PLLC
• Robert J Kash, M.D.
• Shadi Kashani, PHARMD
• Roham Kashanimoghaddam
• David J. Kasher, L.C.P.C.
• Ibrahim Kashoor, MD
• Julie Kashuba, RPH
• Lakshmi Seetha Kasi, MD
• Ravi E Kasi, M.D.
• Rekha Bandla Kasi, DO

• 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 Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.