Kristi L Brower, PSY.D.
Individual provider Active NPI Clinical Psychologist · Sycamore, IL
NPI 1447418488 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1447418488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071.007452 (IL)
- Practice address
- 1625 Bethany Rd
Sycamore, IL 60178-3124 - Phone
- (779) 777-7335
- Fax
- (815) 758-8440
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Services in Health Psychology, LTD
Practice addresses (Care Compare)
1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100722000467 | IL | Practitioner - Clinical Psychologist | 2961534532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007452 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services in Health Psychology, LTD | Cognitive & Behavioral | Current |
Accepting new patients |
| Three Birds Mental Health Services PLLC | Past |
Accepting new patients |
Locations
2540 Hauser Ross Dr
Ste 225
Sycamore, IL 60178
Phone (815) 758-8400
1958 Aberdeen Ct
Ste 2
Sycamore, IL 60178
Phone (630) 618-9152
1625 Bethany Rd
Sycamore, IL 60178
Phone (779) 777-7335
1625 Bethany Rd
Ste 1
Sycamore, IL 60178
Phone (779) 777-7335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.007452 | IL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 071.007452 | ||
| Health Psychologist | 103TH0004X | 071.007452 | ||
| Clinical Psychologist | 103TC0700X | 071.007452 | IL | Yes |
Addresses
Primary practice location
1625 Bethany Rd
Sycamore, IL 60178-3124
Mailing address
PO Box 276
Sycamore, IL 60178-0276
Phone (815) 758-8400
Other providers in Sycamore, IL
- Sylvia S Bray
- Mary Katherine Brennan
- Doris M Brenner
- Broadstep Academy-Illinois Inc
- Erin Brodnick
- Brown Health LLC
- Cynthia Brown
- Bryan M Kruskol DO SC
- Allison Bucaro-Fink
- Hannah Buckle
All providers in Sycamore, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.