Individual provider Active NPI

Kate Rothman, PSYD

  • Clinical Psychologist
  • Chesterfield, MO
National Provider Identifier
1609640101
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2021042340 Issued in MO
Practice address
1415 Elbridge Payne Rd Ste 1300
Chesterfield, MO 63017-8538
Phone
(636) 898-2060
Fax
(636) 898-2062
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 071.011047 IL
Clinical Psychologist 103TC0700X 2021042340 MO Primary

Addresses

Primary practice location

1415 Elbridge Payne Rd Ste 1300
Chesterfield, MO 63017-8538

Mailing address

1415 Elbridge Payne Rd Ste 1300
Chesterfield, MO 63017-8538
Phone (636) 898-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260610002217 MO Order and Referring Only - Clinical Psychologist 3971047523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.011047ILMDClinical Psychologist
2021042340MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psychotherapy, PLLC Clinical CurrentSince Nov 19, 2023 Accepting new patients

Locations

1925 N Clybourn Ave
Ste 300
Chicago, IL 60614
Phone (773) 697-8839

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1609640101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ELBRIDGE PAYNE RD STE 1300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178538",
            "telephone_number": "636-898-2060",
            "fax_number": "636-898-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ELBRIDGE PAYNE RD STE 1300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178538",
            "telephone_number": "636-898-2060",
            "fax_number": "636-898-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011047",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2021042340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.