Individual provider Active NPI

Kaetlin Lindsey Romberg, EDM

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1417461906
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663
Phone
(815) 641-0435
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663

Mailing address

808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663

Other practice location 1

6820 Madrone Dr
Rockford, MI 49341-9578
Phone (480) 313-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Grown Pediatric Therapy, LLC CurrentSince Apr 13, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1417461906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N CLEVELAND AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N CLEVELAND AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103663",
            "telephone_number": "815-641-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6820 Madrone Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493419578",
            "country_code": "US",
            "telephone_number": "480-313-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMBERG",
        "first_name": "KAETLIN",
        "middle_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "EDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.