Kimberly Berka
Individual provider Active NPI School Psychologist · Glencoe, IL
NPI 1821680919 · NPPES record last updated Feb 9, 2021
Key facts
- NPI
- 1821680919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1822844 (IL)
- Practice address
- 378 Park Ave
Glencoe, IL 60022-1586 - Phone
- (262) 337-0909
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1822844 | IL | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1822844 | IL | Yes |
Addresses
Primary practice location
378 Park Ave
Glencoe, IL 60022-1586
Mailing address
25637 W Columbia Bay Dr
Lake Villa, IL 60046-9774
Phone (262) 337-0909
Other providers in Glencoe, IL
- Shona Angle
- Victoria Aron
- Associates in Adolescent Psychiatry SC
- Tara Alisabeth Bagnola
- Julie Bendix
- Ellen R Blumenthal
- Michael P Bobrow
- Darrell David Brayboy
- Heidi Brockstein
- Alan D. Buntman
All providers in Glencoe, IL · School Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.