Active NPI
Kathleen S. Blehart, PSYD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1679939706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009194
- Practice address
- 405 N Wabash Ave Unit 1815
Chicago, IL 60611-5661 - Phone
- (312) 593-4401
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009194 | IL | Primary |
Addresses
Primary practice location
405 N Wabash Ave Unit 1815
Chicago, IL 60611-5661
Mailing address
1212 N Wells St
Unit 903
Chicago, IL 60610-5693
Phone (312) 593-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009194 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1679939706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 N WELLS ST",
"address_2": "UNIT 903",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606105693",
"telephone_number": "312-593-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N WABASH AVE UNIT 1815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115661",
"telephone_number": "312-593-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEHART",
"first_name": "KATHLEEN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.