Individual provider Active NPI

Katherine Hyde Brott, PHD

  • Psychologist
  • Chicago, IL
National Provider Identifier
1790650265
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.022331 Issued in IL
Practice address
1579 N Milwaukee Ave Ste 317
Chicago, IL 60622-2765
Phone
(901) 896-9992
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.022331 IL Primary

Addresses

Primary practice location

1579 N Milwaukee Ave Ste 317
Chicago, IL 60622-2765

Mailing address

1579 N Milwaukee Ave Ste 317
Chicago, IL 60622-2765
Phone (901) 896-9992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2025 through Dec 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.022331ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1790650265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 317",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765",
            "telephone_number": "901-896-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 317",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765",
            "telephone_number": "901-896-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTT",
        "first_name": "KATHERINE",
        "middle_name": "HYDE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.022331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.