Organization Active NPI

Katherine B Klehr PHD LLC

  • Clinical Psychologist
  • Northbrook, IL
National Provider Identifier
1407185168
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003859 Issued in IL
Legal business name
KATHERINE B KLEHR PHD LLC
Practice address
1460 Techny Rd
Northbrook, IL 60062-5447
Phone
(847) 480-4004
Fax
(847) 480-4005
NPI assigned
Dec 9, 2009
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Katherine B Klehr, PHDNPI 1144325820
Title
Owner
Phone
(847) 480-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071003859 IL Primary

Addresses

Primary practice location

1460 Techny Rd
Northbrook, IL 60062-5447

Mailing address

1460 Techny Rd
Northbrook, IL 60062-5447
Phone (847) 480-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000800 IL Part B Supplier - Clinic/Group Practice 8123154176 Receives reassigned benefits from 1 practitioner
Practice locations: Glencoe, IL

National Provider Directory

National Provider Directory

Locations

336 Hazel Ave
Unit 440
Glencoe, IL 60022
Phone (847) 480-4004

1460 Techny Rd
Northbrook, IL 60062
Phone (847) 480-4004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1407185168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-480-4004",
            "fax_number": "847-480-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-480-4004",
            "fax_number": "847-480-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE B KLEHR PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "KLEHR",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-480-4004",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.