Organization Active NPI

Terrilyn Kerr, Psy.D. and Associates, P.C.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1780717983
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-006676 Issued in IL
Legal business name
TERRILYN KERR, PSY.D. AND ASSOCIATES, P.C.
Practice address
3000 N Halsted St Ste 505
Chicago, IL 60657-9270
Phone
(773) 388-8757
Fax
(312) 957-4485
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Terrilyn Kerr, PSY.D.NPI 1558428870
Title
Licensed Clinical Psychologist
Phone
(773) 388-8757

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 071-006676 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 505
Chicago, IL 60657-9270

Mailing address

3000 N Halsted St Ste 505
Chicago, IL 60657-9270
Phone (773) 388-8757

Other identifiers 1

IdentifierTypeStateIssuer
02232711OtherILBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000156 IL Part B Supplier - Clinic/Group Practice 4789860636 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3000 N Halsted St
Ste 505
Chicago, IL 60657
Phone (312) 925-6330

3000 N Halsted St
Ste 407
Chicago, IL 60657
Phone (773) 296-7137

Practitioners & affiliated clinicians

Practitioners 3

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1780717983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579270",
            "telephone_number": "773-388-8757",
            "fax_number": "312-957-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579270",
            "telephone_number": "773-388-8757",
            "fax_number": "312-957-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRILYN KERR, PSY.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "TERRILYN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-388-8757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02232711",
            "state": "IL"
        }
    ],
    "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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.