Kintsugi Psychiatry Collective, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KINTSUGI PSYCHIATRY COLLECTIVE, PLLC

Practice address

7366 N Lincoln Ave FL 4
Lincolnwood, IL 60712-1708

Phone

(773) 234-5203

Fax

(224) 714-0630

NPI assigned

Jul 1, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Susan S Anderson, MD

Title

Owner

Phone

(773) 234-5203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1841117645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE FL 4",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121708",
            "telephone_number": "773-234-5203",
            "fax_number": "224-714-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE FL 4",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121708",
            "telephone_number": "773-234-5203",
            "fax_number": "224-714-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI PSYCHIATRY COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-234-5203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Khounthikoumane, MA CCC-SLP
• Hyun Helen Kim, ETC
• Kathy Kim, OTD
• Kwang Kim, RPH
• Sorah Kim
• Neal Kirschenbaum, PH.D.
• Rebecca Klinghofer
• Courtney Elizabeth Knowles, R.D., L.D.N.
• Conner T Kohen, BA
• Tsipporah Kohen, MS, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.