Kailyn Bobb

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009865 Issued in IL

Practice address

10 N Martingale Rd Ste 400
Schaumburg, IL 60173-2411

Phone

(847) 230-4233

Fax

(224) 366-6903

NPI assigned

Jun 20, 2016

Last updated

May 5, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inner Peace Psychological Care PLLC

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1881475242
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1396195491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MARTINGALE RD STE 400",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732411",
            "telephone_number": "847-230-4233",
            "fax_number": "224-366-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MARTINGALE RD STE 400",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732411",
            "telephone_number": "847-230-4233",
            "fax_number": "224-366-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBB",
        "first_name": "KAILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Anchor Wellness, LLC
• Blue Chip Chiropractic, LLC
• Blue Leaf Dental Associates LLC (Dental Salon Schaumburg)
• Blue Light ABA Consultants
• Alicia Bobak, FNP
• Ronald Joseph Boduch, MD
• Brenda Ann Bogue
• Amy R. Bohland, FNP-BC
• Kelly Bohn
• Alyssa Bolhous

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.