Kathleen Philben, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1024 Lake Ave
Wilmette, IL 60091-1764

Phone

(847) 251-1872

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Interfaith Counseling Center IncGroup PAC ID 8426014994, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samaritan Interfaith Counseling Center Inc.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497842983
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1851446645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 GREENWOOD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014037",
            "telephone_number": "847-332-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911764",
            "telephone_number": "847-251-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBEN",
        "first_name": "KATHLEEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "1622884",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4244296",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentisrty Specialists P.C.
• Pediatric Eye Associates, PC (Pediatric Eye Associates)
• Jodi Petchenik, M.S.W., L.C.S.W.
• Peter R. Lewy, MD, LTD (Pediatric Associates of the North Shore)
• Nancy E Peter, MSW, LCSW
• Philip Cook DDS LLC
• Danielle Nicole Phillips, DOT
• Physical Therapy at Home LLC
• PKT Inc (New Vision Optical Boutique)
• Noelle Kathleen Pontarelli, PHD

• Clinical Psychologist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.