Individual provider Active NPI

Ashley Kuhl Piwowarski, PSY.D.

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1417296492
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008542 Issued in IL
Practice address
101 Madison St Ste 200
Oak Park, IL 60302-4210
Phone
(708) 859-8004
Fax
(708) 628-3358
NPI assigned
Feb 11, 2013
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008542 IL Primary

Addresses

Primary practice location

101 Madison St Ste 200
Oak Park, IL 60302-4210

Mailing address

101 Madison St Ste 200
Oak Park, IL 60302-4210
Phone (708) 859-8004

Other practice location 1

4909 W Division St
Suite 405
Chicago, IL 60651-3161
Phone (773) 921-7805

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
I20231006001164 IL Practitioner - Clinical Psychologist 5597089722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Hartgrove, IncGroup PAC ID 3173611738, 15 clinicians

Practice addresses (Care Compare)

5730 W Roosevelt Rd
Hartgrove Hospital
Chicago, IL 60644-1580
Phone (773) 413-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008542ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hartgrove, Inc Clinical PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 2

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1417296492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON ST STE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024210",
            "telephone_number": "708-859-8004",
            "fax_number": "708-628-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST STE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024210",
            "telephone_number": "708-859-8004",
            "fax_number": "708-628-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 W Division St",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606513161",
            "country_code": "US",
            "telephone_number": "773-921-7805",
            "fax_number": "773-921-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHL PIWOWARSKI",
        "first_name": "ASHLEY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.