Kerrie Armstrong, PH.D.
Individual provider Active NPI Psychologist · Bloomington, IL
NPI 1487093092 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1487093092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 071009620 (IL)
- Practice address
- 3024 E Empire St Ste a
Bloomington, IL 61704-5402 - Phone
- (309) 556-7800
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carle West Physician Group Inc
Carle Health Care Incorporated
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
3024 E Empire St
Bloomington, IL 61704-5402
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
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 |
|---|---|---|---|---|
| I20190808000757 | IL | Practitioner - Clinical Psychologist | 8123315876 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009620 | IL | MD | Psychologist |
| 2016002818 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients |
Locations
3024 E Empire St
Ste A
Bloomington, IL 61704
Phone (309) 556-7800
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- karmstrongphd399762@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071009620 | IL | Yes |
| Clinical Psychologist | 103TC0700X | 2016002818 | MO |
Addresses
Primary practice location
3024 E Empire St Ste a
Bloomington, IL 61704-5402
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Phone (217) 902-5292
Other practice location 1
1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone (314) 534-0200 ext. 403
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. 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.