Organization Active NPI

Harry Kent PHD PC

  • Clinical Psychologist
  • Elgin, IL
National Provider Identifier
1861475212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HARRY KENT PHD PC
Practice address
77 N Airlite Street
Provena St Joseph Hospital
Elgin, IL 60123-4912
Phone
(847) 695-3200
Fax
(947) 622-3470
NPI assigned
Nov 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry Mason Kent, PHDNPI 1154437275
Title
President
Phone
(773) 398-2415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

77 N Airlite Street
Provena St Joseph Hospital
Elgin, IL 60123-4912

Mailing address

3540 N Southport
#272
Chicago, IL 60657
Phone (773) 398-2415

Other identifiers 1

IdentifierTypeStateIssuer
04532067OtherBCBS

National Provider Directory

National Provider Directory

Locations

77 N Airlite St
#B384
Elgin, IL 60123
Phone (847) 695-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861475212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 N SOUTHPORT",
            "address_2": "#272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-398-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE STREET",
            "address_2": "PROVENA ST JOSEPH HOSPITAL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-695-3200",
            "fax_number": "947-622-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY KENT PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-398-2415",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04532067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.