Organization Active NPI

Kirsten T Svejda, PSYD, LLC

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1710511514
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KIRSTEN T SVEJDA, PSYD, LLC
Practice address
101 N Marion St Ste 202
Oak Park, IL 60301-1023
Phone
(312) 208-9457
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Kirsten Tesnar Svejda, PSYDNPI 1700059714
Title
Owner/Clinical Psychologist
Phone
(312) 208-9457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

101 N Marion St Ste 202
Oak Park, IL 60301-1023

Mailing address

325 S Cuyler Ave
Oak Park, IL 60302-3515
Phone (312) 208-9457

National Provider Directory

National Provider Directory

Locations

101 N Marion St
Ste 202
Oak Park, IL 60301
Phone (312) 208-9457

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1710511514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023515",
            "telephone_number": "312-208-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MARION ST STE 202",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011023",
            "telephone_number": "312-208-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTEN T SVEJDA, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "SVEJDA",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "TESNAR",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-208-9457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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 Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.