KENNETH ADAM FOGEL PSY D
NPI 1033121124
Psychologist - Clinical in Burr Ridge, IL

Active since August 13, 2006
200 S FRONTAGE RD STE 324, BURR RIDGE, IL 60527(847) 347-0491 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Adam Fogel Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ADAM FOGEL PSY D (NPI 1033121124) is an individual clinical provider in Burr Ridge, Illinois, licensed in Illinois (071006356) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033121124
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKENNETH ADAM FOGELCredential: PSY D
Location Address200 S FRONTAGE RD STE 324Burr Ridge, IL 60527-6953
Mailing Address118 N Chester AvePark Ridge, IL 60068 · (847) 384-5679
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
NPI 1033121124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071006356
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

200 S FRONTAGE RD STE 324, Burr Ridge, IL 60527

Other Names 1

Other Name (5)Ken Adam Fogel

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527
Psychologist (Prescribing (Medical))
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Fogel's NPI number?

The NPI number for Kenneth Fogel is 1033121124. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Ken Adam Fogel.

Where is Kenneth Fogel located?

Kenneth Fogel practices at 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527. The listed phone number is (847) 347-0491.

What is Kenneth Fogel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Fogel was last updated on January 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.