KELLY BERKHEIMER


Address: 467 W Deming Pl, Suite 500, Chicago, IL 60614-1881
Phone: 7733886390

KELLY BERKHEIMER (NPI# 1497721807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497721807
Entity Type Individual
Full Name KELLY BERKHEIMER
Credential PSYD
Practice Address 467 W Deming Pl
Suite 500
Chicago
IL 60614-1881
Practice Telephone 7733886390
Practice Fax Number 7734779712
Mailing Telephone 7733886390
Mailing Fax Number 7734779712
Enumeration Date 2006-02-24
Last Update Date 2008-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 71-006768 IL Behavioral Health & Social Service Providers

Office Location

Street Address 467 W DEMING PL
SUITE 500
City CHICAGO
State IL
Zip Code 60614-1881

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003808114 John S Andrews Pediatrics 467 W Deming Pl, Chicago, IL 60614-1881 2005-08-16
1275159683 Eleanor Margaret Reid Hilton Genetic Counselor, MS 467 W Deming Pl, Chicago, IL 60614-1881 2020-06-22
1265826838 Jennifer Kusma Pediatrics 467 W Deming Pl, Chicago, IL 60614 2015-03-22
1093143604 Diane Chen Psychologist 467 W Deming Pl, Suite 800, Chicago, IL 60614-1881 2013-10-16
1215270160 Claire Sheehan Dentist 467 W Deming Pl, Chicago, IL 60614-1881 2013-03-28
1851658777 Kavitha Selvaraj Pediatrics 467 W Deming Pl, Chicago, IL 60614-1881 2012-04-17
1790910065 Ashlee L. Vorachek Dentist 467 W Deming Pl, Suite 900, Chicago, IL 60614-1881 2009-05-15
1922251016 Lindsey Kristine Hedman Nurse Practitioner 467 W Deming Pl, Chicago, IL 60614-1881 2008-11-03
1518088319 Lurie Children's Medical Group Dentist 467 W Deming Pl, Suite 900, Chicago, IL 60614-1881 2007-04-02
1801975131 Benya Young Dentist 467 W Deming Pl, Suite 900, Chicago, IL 60614-1881 2006-11-06
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1518500099 Allow Wellness LLC Psychologist 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 2019-10-28
1619510914 Keeshawna Brooks Psychologist 325 N Wells St Ofc 523, Chicago, IL 60654-7024 2019-10-20
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Competitor

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City CHICAGO
Zip Code 60614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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