Kollmorgen & Natta, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005260 Issued in IL

Legal business name

KOLLMORGEN & NATTA, P.C.

Practice address

910 Skokie Blvd.
Suite 101
Northbrook, IL 60062-4032

Phone

(847) 480-9999

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Lizabeth A. Kollmorgen, PSY.D.NPI 1174654990

Title

Co-Owner

Phone

(847) 480-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizabeth A. Kollmorgen, PSY.D.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1174654990
  Medicare reassignment NPD Authorized official
• Mario B. Natta, PH.D.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1487785168
  NPD
• Leslie Kaplan Wellington, LCSW

  • Clinical Social Worker
  • Wilmette, IL
  • NPI 1811167083
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1346427481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD.",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD.",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLLMORGEN & NATTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "KOLLMORGEN",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-480-9999",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "21620045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth M. Kohl, LCSW
• Deanna Kolas, LPCC
• Elena K Koles, M.D.
• Linda Marie Kolka, APN
• Kristen Koll
• Lizabeth A. Kollmorgen, PSY.D.
• Olivia Kolomiyets
• Nicolette Renee Komie, DEVELOPMENTAL THERAP
• Demetra Kontakos, RBT-18-69856
• Naomi Kopinsky

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.