Active NPI
Kayla Sivesind
- Psychologist
- Oak Park, IL
National Provider Identifier
1912817339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071011490
- Practice address
- 1011 Lake St Ste 307
Oak Park, IL 60301-1138 - Phone
- (872) 395-8091
- Fax
- (773) 409-5955
- NPI assigned
- Sep 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071011490 | IL | Primary |
Addresses
Primary practice location
1011 Lake St Ste 307
Oak Park, IL 60301-1138
Mailing address
1011 Lake St Ste 307
Oak Park, IL 60301-1138
Phone (872) 395-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1912817339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 LAKE ST STE 307",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011138",
"telephone_number": "872-395-8091",
"fax_number": "773-409-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 LAKE ST STE 307",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011138",
"telephone_number": "872-395-8091",
"fax_number": "773-409-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVESIND",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071011490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.