Active NPI
Kenneth A Fils, PH.D.
- Clinical Psychologist
- Northbrook, IL
National Provider Identifier
1487694279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-003011
- Practice address
- 420 Anjou Dr
Northbrook, IL 60062-2211 - Phone
- (630) 362-9192
- Fax
- (847) 673-0875
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-003011 | IL | Primary |
Addresses
Primary practice location
420 Anjou Dr
Northbrook, IL 60062-2211
Mailing address
PO Box 9220
Aurora, IL 60598-9220
Phone (303) 629-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3426 W Touhy Ave
Skokie, IL 60076-6217
590 N Kimball Ave
Suite 100
Southlake, TX 76092-6878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003011 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davken Associates, P.C. | Clinical | Current | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 204
Skokie, IL 60076
Phone (847) 410-2029
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Deerfield, IL
- NPI 1457393159
-
- Clinical Psychologist
- Crown Point, IN
- NPI 1952266959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1487694279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9220",
"city": "AURORA",
"state": "IL",
"postal_code": "605989220",
"telephone_number": "303-629-1926",
"fax_number": "847-673-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 ANJOU DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622211",
"telephone_number": "630-362-9192",
"fax_number": "847-673-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILS",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2024-01-31",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-003011",
"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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.