Eliezer Krumbein, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

71-941 Issued in IL

Practice address

1866 Sheridan Rd
Suite 320
Highland Park, IL 60038-2546

Phone

(847) 432-6465

Fax

(847) 432-5389

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Clinical Psychologist

Education

Other, 1960

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lincoln Center for Clinical Services, LTD

  • Psychologist
  • Highland Park, IL
  • NPI 1891833109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568566560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 320",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600382546",
            "telephone_number": "847-432-6465",
            "fax_number": "847-432-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 320",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600382546",
            "telephone_number": "847-432-6465",
            "fax_number": "847-432-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMBEIN",
        "first_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "71-941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04915060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L008279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0491506012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "11374180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "1106006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Kral, FNP-BC
• Steven Kramer, LCSW
• Laura Ann Kresch, DNP, APNP, FNP-BC
• Monika A. Krezalek, M.D.
• Jelena Krstic
• Emily Catherine Kubacki, FNP
• Richard Kubes, LMT
• Cinda Kuhn
• Ila P Kurani, MD
• Craig Van Nort Labbate, MD

• Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.