Yehuda Krohn, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006501 Issued in IL

Legal business name

YEHUDA KROHN, PSY.D., P.C.

Practice address

6677 N Lincoln Ave
Suite 232
Lincolnwood, IL 60712-3619

Phone

(847) 763-1184

Fax

(847) 258-7750

NPI assigned

May 15, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yehuda Krohn, PSY.D.NPI 1245360858

Title

President

Phone

(847) 763-1184

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yehuda Krohn, PSY.D.

  • Clinical Psychologist
  • Lincolnwood, IL
  • NPI 1245360858
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1548617012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 N LINCOLN AVE",
            "address_2": "SUITE 232",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123619",
            "telephone_number": "847-763-1184",
            "fax_number": "847-258-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 N LINCOLN AVE",
            "address_2": "SUITE 232",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123619",
            "telephone_number": "847-763-1184",
            "fax_number": "847-258-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHUDA KROHN, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-763-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071006501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.