Individual provider Active NPI

Kristen Anne Wright, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1336454891
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009855 Issued in IL
Practice address
5214 N Western Ave Ste 203
Chicago, IL 60625-2591
Phone
(312) 746-5905
NPI assigned
Aug 9, 2010
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Psychologist 103TC0700X 071009855 IL Primary

Addresses

Primary practice location

5214 N Western Ave Ste 203
Chicago, IL 60625-2591

Mailing address

1415 W Lunt Ave Apt 312
Chicago, IL 60626-6071
Phone (773) 633-0866

Other practice location 1

1415 W Lunt Ave Apt 312
Chicago, IL 60626-6071
Phone (773) 633-0866

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
I20181003000397 IL Practitioner - Clinical Psychologist 9335491380 Reassigns benefits to 3 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Mid-West LLCGroup PAC ID 2264762681, 10 clinicians

Practice addresses (Care Compare)

133 Mohawk Dr
Bourbonnais, IL 60914-1349
Phone (888) 365-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paradox Neuropsychology Clinical Current Accepting new patients
Deer Oaks Mid-West LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Aug 1, 2022 Accepting new patients
Gregory Malo PSYD & Associates in Neuropsychology PC CurrentSince Sep 13, 2018 Accepting new patients

Locations

133 Mohawk Dr
Bourbonnais, IL 60914
Phone (815) 936-6240

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

246 E Janata Blvd
Ste 112
Lombard, IL 60148
Phone (630) 424-8900

477 E Butterfield Rd
Ste 102
Lombard, IL 60148
Phone (630) 424-8900

720 Raymond Dr
Naperville, IL 60563
Phone (630) 355-0220

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1336454891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W LUNT AVE APT 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266071",
            "telephone_number": "773-633-0866",
            "fax_number": "847-773-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 N WESTERN AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252591",
            "telephone_number": "312-746-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 W Lunt Ave Apt 312",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606266071",
            "country_code": "US",
            "telephone_number": "773-633-0866",
            "fax_number": "872-234-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.