Kathryn Vuckovich

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8102 W 119TH St
Palos Park, IL 60464-3042

Phone

(708) 738-4019

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sailebrite Clinical Services PLLC

  • Mental Health Counselor
  • Mokena, IL
  • NPI 1356222491
  NPD Authorized official

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1629413893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643042",
            "telephone_number": "708-738-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Joyce Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604361876",
            "country_code": "US",
            "telephone_number": "815-723-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUCKOVICH",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362706578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ann Tsupros
• Sarah A Usmani, M.D.
• Aley Valiaparumbil
• Rugile G. Valionis, RBT
• Amit Vira
• Walgreen Co
• Walgreen Co.
• Agnieszka Joanna Walkowicz
• Irene Joy Walters, LAC, LMT
• Alison Webb

• Behavior Analyst in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.