Individual provider Active NPI

Kathryne Hatch, PSY.D.

  • Clinical Psychologist
  • Plainfield, IL
National Provider Identifier
1508116658
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009055 Issued in IL
Practice address
15105 S James St Ste 3
Plainfield, IL 60544-2171
Phone
(630) 885-0131
NPI assigned
Sep 17, 2012
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 071009055 IL Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

15105 S James St Ste 3
Plainfield, IL 60544-2171

Mailing address

208 Cambridge CT
Oswego, IL 60543-8023
Phone (630) 885-0131

Other names 1

  • Katie Poole Former name

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
I20210824001647 IL Practitioner - Clinical Psychologist 6002211422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Silver Rising Therapy LLCGroup PAC ID 8729584305, 24 clinicians

Practice addresses (Care Compare)

15 W150 S Frontage Rd
Burr Ridge, IL 60527-6956
Phone (630) 422-5920

15105 S James St
Suite 3
Plainfield, IL 60544-2171
Phone (630) 885-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009055ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Rising Therapy LLC Behavior Analyst CurrentSince Sep 11, 2025 Accepting new patients
Client Centered Wellness LLC Clinical CurrentSince Sep 29, 2022 Accepting new patients
Matter Clinical Services, P.C. Clinical Past Accepting new patients

Locations

15W150 S Frontage Rd
Burr Ridge, IL 60527
Phone (630) 422-5920

15105 S James St
Ste 3
Plainfield, IL 60544
Phone (630) 885-0131

Organizations & group practices 3

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1508116658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CAMBRIDGE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438023",
            "telephone_number": "630-885-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 S JAMES ST STE 3",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442171",
            "telephone_number": "630-885-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "KATHRYNE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009055",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "POOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.