DR. KATHLEEN EMERY PHD
NPI 1154835932
Psychologist - Clinical in Chicago, IL

NPI Status: Active since November 30, 2017

Contact Information

555 W JACKSON BLVD STE 700
CHICAGO, IL
ZIP 60661
Phone: (312) 725-0194

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About KATHLEEN EMERY

This page provides the complete NPI Profile along with additional information for Kathleen Emery, a provider established in Chicago, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1154835932 assigned on November 2017. The practitioner's primary taxonomy code is 103TC0700X with license number 071.009621 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1154835932
Provider Name
DR. KATHLEEN EMERY PHD
Gender
Female
Entity Type
Individual
Location Address
555 W JACKSON BLVD STE 700 CHICAGO, IL 60661
Location Phone
(312) 725-0194
Mailing Address
555 W JACKSON BLVD STE 700 CHICAGO, IL 60661
Mailing Phone
(312) 725-0194
Is Sole Proprietor?
Yes
Enumeration Date
11-30-2017
Last Update Date
06-29-2018
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A clinical psychologist like Kathleen Emery assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kathleen Emery opted out of Medicare effective on 08-29-2024 until 08-29-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
071.009621
License State
IL
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-29-2024

  • Opt-Out End Date: 08-29-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154835932, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 6 + 3 + 1 + 0 + 9 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154835932.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154835932, enumerated as an "individual" on November 30, 2017.

The provider is located at 555 W JACKSON BLVD STE 700 CHICAGO, IL 60661 and the phone number is (312) 725-0194.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.