K & Y Healthcare S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042619705 Issued in IL

Legal business name

K & Y HEALTHCARE S.C.

Practice address

899 Skokie Blvd SPC 333
Northbrook, IL 60062-4023

Phone

(847) 834-1428

Fax

(855) 265-2722

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenzie Kitcharoen, MDNPI 1356533269

Title

President/Owner

Phone

(847) 834-1428

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenzie Kitcharoen, M.D.

  • Psychiatry Physician
  • Maplewood, NJ
  • NPI 1356533269
  NPD Authorized official

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622246400000",
    "number": "1720383086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD SPC 333",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624023",
            "telephone_number": "847-834-1428",
            "fax_number": "855-265-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD SPC 333",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624023",
            "telephone_number": "847-834-1428",
            "fax_number": "855-265-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & Y HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "KITCHAROEN",
        "authorized_official_first_name": "KENZIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-834-1428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "042619705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Juric, RBT -18-62369
• Robert Jury, LCPC
• Sarah E Just
• Autumn Rae Justus, RBT-19-85522
• JW Center for Spinal Health
• Steven Neal Kacel, D.D.S.
• Natalia Kaczmarek, PSY.D.
• Sierra M Kadalage
• Kristin Elizabeth Kadolph
• Rachel Kahan, LPC

• Psychiatry Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.