DR. SANDRA JOHNSTON KRUSE PSY.D.
NPI 1144418500
Psychologist - Clinical in Carol Stream, IL

Q: What is Sandra Kruse's NPI number?

The NPI number for Sandra Kruse is 1144418500. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Sandra Kruse's specialty?

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

Q: Is Sandra Kruse enrolled in Medicare?

No. Sandra Kruse has opted out of Medicare through December 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sandra Kruse was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 11, 2007Opted out of Medicare · through Dec 2, 2027

336 GUNDERSEN DR STE B, OUTREACH COMMUNITY COUNSELING CENTER, CAROL STREAM, IL 60188(630) 871-2100(630) 588-0824 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Sandra Johnston Kruse Psy.d. NPPES

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

DR. SANDRA JOHNSTON KRUSE PSY.D. (NPI 1144418500) is an individual clinical provider in Carol Stream, Illinois and active in the NPI registry since October 2007. She has opted out of Medicare through December 2, 2027.

NPPES Registry Identity

NPI1144418500

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SANDRA JOHNSTON KRUSECredential: PSY.D.

Location Address336 GUNDERSEN DR STE B, OUTREACH COMMUNITY COUNSELING CENTERCarol Stream, IL 60188-2403

Mailing Address336 Gundersen Dr Ste B, Outreach Community Counseling CenterCarol Stream, IL 60188-2403 · (630) 871-2100 · Fax (630) 588-0824

Phone(630) 871-2100

Fax(630) 588-0824

Sole ProprietorNo

Enumeration DateOctober 11, 2007

✔ NPI 1144418500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

336 GUNDERSEN DR STE B, Carol Stream, IL 60188

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sandra Johnston Kruse Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 2, 2023 through December 2, 2027.

Opt-Out Effective DateDecember 2, 2023

Opt-Out In Effect ThroughDecember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. SUSAN STEELE EDWARDS L.I.C.S.W.

Social Worker (Clinical)

336 GUNDERSEN DR STE B
CAROL STREAM, IL 60188

Dupage County (630) 871-2100

DR. ALANA MARQUEZ ROTH PSYD

Psychologist (Clinical)

336 GUNDERSEN DR STE B
CAROL STREAM, IL 60188

Dupage County (630) 871-2100

AIMEE MAAS LCSW

Social Worker (Clinical)

336 GUNDERSEN DR STE B
CAROL STREAM, IL 60188

Dupage County (630) 871-2100

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 Sandra Kruse's NPI number?

The NPI number for Sandra Kruse is 1144418500. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Sandra Kruse located?

Sandra Kruse practices at 336 Gundersen Dr Ste B Outreach Community Counseling Center, Carol Stream, IL 60188. The listed phone number is (630) 871-2100.

What is Sandra Kruse's specialty?

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

Is Sandra Kruse enrolled in Medicare?

No. Sandra Kruse has opted out of Medicare through December 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sandra Kruse was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.