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DR. KOHL MITCHELL MAYBERRY D.O.
NPI 1295028256
Psychiatry & Neurology - Child & Adolescent Psychiatry in Naperville, IL

Active since May 24, 2011PECOS Enrolled
91.35/100
CMS Quality Rating
1335 N MILL ST STE 100, NAPERVILLE, IL 60563(630) 305-5027 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Nov 15, 2022, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Kohl Mitchell Mayberry D.o. NPPES

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

DR. KOHL MITCHELL MAYBERRY D.O. (NPI 1295028256) is an individual child & adolescent psychiatry provider in Naperville, Illinois, licensed in Illinois (036156105) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295028256
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KOHL MITCHELL MAYBERRYCredential: D.O.
Location Address1335 N MILL ST STE 100Naperville, IL 60563-2047
Mailing Address302 Randall Rd Ste 308Geneva, IL 60134-4205 · (630) 933-4056 · Fax (630) 208-3007
Phone(630) 305-5027
Sole ProprietorYes
Enumeration DateMay 24, 2011
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1295028256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036156105
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036.156105 (IL)
1335 N MILL ST STE 100, Naperville, IL 60563
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Other Identifiers 1

Medicaid007622900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kohl Mitchell Mayberry D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

MEGAN RITA WILLS
Social Worker (Clinical)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
MISS GINA MERCEDES CROVETTI LCPC
Counselor (Professional)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
MATTHEW DE LA TORRE APN-CNP
Nurse Practitioner
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
DR. SACHIN JAYANT BHALERAO D.O.
Psychiatry & Neurology (Psychiatry)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
HANQI HUANG MA
Counselor (Professional)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 305-5118
JENNIFER SUSAN KENNEAVY LCSW
Social Worker (Clinical)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
ANGELA SAKANIS LCPC
Counselor (Professional)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000
MARY BRIEGEL LCSW
Social Worker (Clinical)
1335 N MILL ST STE 100
NAPERVILLE, IL 60563
Dupage County (630) 646-8000

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 Kohl Mayberry's NPI number?

The NPI number for Kohl Mayberry is 1295028256. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Kohl Mayberry located?

Kohl Mayberry practices at 1335 N Mill St Ste 100, Naperville, IL 60563. The listed phone number is (630) 305-5027.

What is Kohl Mayberry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kohl Mayberry enrolled in Medicare?

Yes. Kohl Mayberry is registered in the Medicare PECOS enrollment system.

What insurance does Kohl Mayberry accept?

Health plans from Providence Health Plan and Wellpoint list Kohl Mayberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kohl Mayberry was last updated on December 5, 2023. 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.