Individual provider Active NPI

Monica K. Kathuria, PSY.D.

  • Clinical Psychologist
  • Glenview, IL
National Provider Identifier
1508066044
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007786 Issued in IL
Practice address
1701 E Lake Ave
Suite 371B
Glenview, IL 60025-2065
Phone
(312) 371-5680
NPI assigned
Jul 23, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017198 NY
Clinical Psychologist 103TC0700X 071.007786 IL Primary

Addresses

Primary practice location

1701 E Lake Ave
Suite 371B
Glenview, IL 60025-2065

Mailing address

1701 E Lake Ave
Suite 371B
Glenview, IL 60025-2065
Phone (312) 371-5680

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
I20240830000423 IL Practitioner - Clinical Psychologist 8022557305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

Practice addresses (Care Compare)

1200 Harger Rd
Suite 200
Oak Brook, IL 60523-1816
Phone (630) 607-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007786ILMDClinical Psychologist
017198NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Solutions Inc. CurrentSince Aug 19, 2024 Accepting new patients
Encircle Psychological Services, LLC Past Accepting new patients

Locations

1721 Moon Lake Blvd
Ste 201
Hoffman Estates, IL 60169
Phone (630) 607-0387

1284 Rickert Dr
Ste 200
Naperville, IL 60540
Phone (630) 607-0387

1200 Harger Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 556-8914

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1508066044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE",
            "address_2": "SUITE 371B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252065",
            "telephone_number": "312-371-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE",
            "address_2": "SUITE 371B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252065",
            "telephone_number": "312-371-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHURIA",
        "first_name": "MONICA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017198",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.