Individual provider Active NPI

Amy T. Krutky, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1548417306
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.0008023 Issued in IL
Practice address
3057 N Rockwell St
Chicago, IL 60618-7917
Phone
(312) 771-3288
NPI assigned
Aug 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 071008023 IL
Clinical Psychologist 103TC0700X 071.0008023 IL Primary

Addresses

Primary practice location

3057 N Rockwell St
Chicago, IL 60618-7917

Mailing address

631 Indian Rd
Glenview, IL 60025-3405

Other practice location 1

631 Indian Rd
Glenview, IL 60025-3405
Phone (773) 665-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.0008023ILMDClinical Psychologist
071008023ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Krutky PSYD PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

3057 N Rockwell St
Chicago, IL 60618
Phone (312) 307-6792

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1548417306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 INDIAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 N ROCKWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187917",
            "telephone_number": "312-771-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Indian Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253405",
            "country_code": "US",
            "telephone_number": "773-665-8052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUTKY",
        "first_name": "AMY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008023",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.0008023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.