DR. KYLE JOSEPH JENNETTE PH.D.
NPI 1083354641
Psychologist - Clinical in Chicago, IL

Q: What is Kyle Jennette's NPI number?

The NPI number for Kyle Jennette is 1083354641. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Kyle Jennette's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Jennette was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment

87.08/100

CMS Quality Rating

912 S WOOD ST, CHICAGO, IL 60612(312) 996-0123 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kyle Joseph Jennette Ph.d. NPPES

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

DR. KYLE JOSEPH JENNETTE PH.D. (NPI 1083354641) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010665) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083354641

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYLE JOSEPH JENNETTECredential: PH.D.

Location Address912 S WOOD STChicago, IL 60612-4300

Mailing Address51 E 14th St Apt 710Chicago, IL 60605-2980 · (352) 634-1848

Phone(312) 996-0123

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 31, 2022

Last NPPES UpdateMay 27, 2024

NPPES CertifiedMay 27, 2024

✔ NPI 1083354641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.010665

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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 071.010665 (IL)

Also ListedPsychologistTaxonomy 103T00000X · License 071.010665 (IL)

912 S WOOD ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Joseph Jennette Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789052903

PECOS Enrollment IDI20221119000416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

154 services17 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

19 services13 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

18 services18 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

18 services18 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF ILLINOIS AT CHICAGO

General Acute Care Hospital

912 S WOOD ST
CHICAGO, IL 60612

Cook County (312) 996-5754

MRS. ELIVERTA BARJAMAJ MSW, LCSW

Social Worker (Clinical)

912 S WOOD ST, ROOM 743
CHICAGO, IL 60612

Cook County (312) 355-4901

BEATRICE T. NAULLEAU

Social Worker

912 S WOOD ST
CHICAGO, IL 60612

Cook County (312) 996-7206

DR. DILIP K PANDEY MBBS, MS, PHD

Specialist (Research Study)

912 S WOOD ST
CHICAGO, IL 60612

Cook County (312) 355-5421

CHRISTOPHER TRENNEPOHL

Psychiatry & Neurology (Psychiatry)

912 S WOOD ST
CHICAGO, IL 60612

Cook County (312) 996-2200

MARISA ZOE-TATIANA JACKSON PH.D.

Student in an Organized Health Care Education/Training Program

912 S WOOD ST, M/C 913
CHICAGO, IL 60612

Cook County (312) 996-3583

ERIC SILVERMAN MD

Psychiatry & Neurology (Psychiatry)

912 S WOOD ST
CHICAGO, IL 60612

Cook County (866) 600-2273

WEIYANG XIE

Psychologist

912 S WOOD ST
CHICAGO, IL 60612

Cook County (612) 636-9701

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 Kyle Jennette's NPI number?

The NPI number for Kyle Jennette is 1083354641. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Kyle Jennette located?

Kyle Jennette practices at 912 S Wood St, Chicago, IL 60612. The listed phone number is (312) 996-0123.

What is Kyle Jennette's specialty?

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

Is Kyle Jennette enrolled in Medicare?

Yes. Kyle Jennette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kyle Jennette affiliated with any hospitals?

According to CMS data, Kyle Jennette is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kyle Jennette was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.