Active NPI
Harry Kent PHD PC
- Clinical Psychologist
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Mason Kent, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532067 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Elgin, IL
- NPI 1154437275
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.