Active NPI
Krithika Malhotra, PHD
- Psychologist
- Grayslake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071010637
- Practice address
- 1475 E Belvidere Rd Unit 385
Grayslake, IL 60030-2026 - Phone
- (312) 926-0106
- Fax
- (312) 503-1377
- NPI assigned
- Jun 6, 2014
- Last updated
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2456 | KS | |
| Psychologist | 103T00000X | 071010637 | IL | Primary |
Addresses
Primary practice location
1475 E Belvidere Rd Unit 385
Grayslake, IL 60030-2026
Mailing address
1475 E Belvidere Rd Unit 385
Grayslake, IL 60030-2026
Phone (312) 926-0106
Other practice location 1
3901 Rainbow Blvd
Kansas City, KS 66160-2622
Phone (913) 588-1908
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1475 E Belvidere Rd
Pavilion C Suite 385
Grayslake, IL 60030-2026
Phone (312) 694-1469
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2456 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
1475 E Belvidere Rd
Unit 385
Grayslake, IL 60030
Phone (312) 694-1469
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 2
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1902219066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 E BELVIDERE RD UNIT 385",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302026",
"telephone_number": "312-926-0106",
"fax_number": "312-503-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 E BELVIDERE RD UNIT 385",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302026",
"telephone_number": "312-926-0106",
"fax_number": "312-503-1377"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661602622",
"country_code": "US",
"telephone_number": "913-588-1908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALHOTRA",
"first_name": "KRITHIKA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "2456",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071010637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.