Active NPI
KMZ Wellness PLLC
- Clinical Psychologist
- Palatine, IL
National Provider Identifier
1669039509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KMZ WELLNESS PLLC
- Practice address
- 579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102 - Phone
- (847) 701-4452
- NPI assigned
- May 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Mary Zachary, PSY.D.
- Title
- Owner
- Phone
- (847) 507-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102
Mailing address
910 W Shiloh Dr
Arlington Heights, IL 60004-2933
Phone (847) 507-8881
National Provider Directory
National Provider DirectoryLocations
579 N 1st Bank Dr
Ste 150
Palatine, IL 60067
Phone (847) 701-4273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1669039509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W SHILOH DR",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042933",
"telephone_number": "847-507-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 N 1ST BANK DR STE 150",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678102",
"telephone_number": "847-701-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMZ WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-28",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "ZACHARY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-507-8881",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.