Organization Active NPI

Sirona Center, LLC

  • Clinical Psychologist
  • Glendale Heights, IL
National Provider Identifier
1659830909
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIRONA CENTER, LLC
Practice address
2005 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-2151
Phone
(630) 383-7222
NPI assigned
Mar 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Kristen M Newberry, PSY.D.
Title
Owner
Phone
(630) 383-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2005 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-2151

Mailing address

2005 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-2151
Phone (630) 383-7222

National Provider Directory

National Provider Directory

Locations

2005 Bloomingdale Rd
Ste B
Glendale Heights, IL 60139
Phone (312) 801-5964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1659830909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392151",
            "telephone_number": "630-383-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392151",
            "telephone_number": "630-383-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRONA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-383-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.