Individual provider Active NPI

Kathleen J Sexton-Radek, PHD

  • Clinical Psychologist
  • Westmont, IL
National Provider Identifier
1336152602
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005336 Issued in IL
Practice address
700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone
(630) 789-9785
Fax
(630) 789-9798
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071005336 IL
Clinical Psychologist 103TC0700X 071005336 IL Primary

Addresses

Primary practice location

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569

Mailing address

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone (630) 789-9785

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
I20040609000858 IL Practitioner - Clinical Psychologist 8921990375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Pulmonary and Sleep Associates LTDGroup PAC ID 3476531088, 25 clinicians

Practice addresses (Care Compare)

700 E Ogden Ave
Suite 202
Westmont, IL 60559-1296
Phone (630) 789-9785

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071005336ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Pulmonary & Sleep Associates LTD CurrentSince Dec 1, 2004 Accepting new patients

Locations

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1336152602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON-RADEK",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005336",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.