Individual provider Active NPI

Adina Sue Kleiman, PH. D

  • Psychologist
  • Wilmette, IL
National Provider Identifier
1871651232
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071001880 Issued in IL
Practice address
444 Skokie Blvd.
Suite 340
Wilmette, IL 60091
Phone
(847) 256-0055
Fax
(847) 853-9526
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071001880 IL Primary
Clinical Psychologist 103TC0700X 071001880 IL
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

444 Skokie Blvd.
Suite 340
Wilmette, IL 60091

Mailing address

444 Skokie Blvd.
Suite 340
Wilmette, IL 60091
Phone (847) 256-0055

Other identifiers 1

IdentifierTypeStateIssuer
01673019OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071001880ILMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: akleiman251951@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1871651232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SKOKIE BLVD.",
            "address_2": "SUITE 340",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60091",
            "telephone_number": "847-256-0055",
            "fax_number": "847-853-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SKOKIE BLVD.",
            "address_2": "SUITE 340",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60091",
            "telephone_number": "847-256-0055",
            "fax_number": "847-853-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "ADINA",
        "middle_name": "SUE",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071001880",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071001880",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01673019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.