Sis Kiel, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004555 Issued in IL

Practice address

11416 Glenbrook Cir
Plainfield, IL 60585-2060

Phone

(630) 334-1913

NPI assigned

Sep 1, 2010

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Aspen Behavioral Care

  • Psychologist
  • Arlington HTS, IL
  • NPI 1093761439

  Clinical

  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1679880306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 GLENBROOK CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852060",
            "telephone_number": "630-334-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GLENBROOK CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852060",
            "telephone_number": "630-334-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "SIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "071004555",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anees Unisa Khan, REGESTERED PHARMACIS
• Quratulann Khan, DMD
• Sanjeeb Khatua, M.D.
• Anjali Kher, M.D. S.C.
• Kids First Pediatrics, LTD
• Yi-Hwa Kim, MD
• Jayson King
• Rita L King
• Skylar Kipka, RBT
• Rachel Francine Kistler, LCSW

• Clinical Psychologist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.