DR. KYLE BERSTED PH.D.
NPI 1376996991
Psychologist in Chicago, IL

Active since July 19, 2016PECOS Enrolled
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 563-1466 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 7, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Kyle Bersted Ph.d. NPPES

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

DR. KYLE BERSTED PH.D. (NPI 1376996991) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071009860) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376996991
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KYLE BERSTEDCredential: PH.D.
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address1653 W Congress PkwyChicago, IL 60612-3833 · (312) 563-1466
Sole ProprietorNo
Enumeration DateJuly 19, 2016
Last NPPES UpdateDecember 7, 20224 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1376996991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in IL · 071009860✔ Licensed in MO · 2017002001
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
1653 W CONGRESS PKWY, Chicago, IL 60612

Secondary Practice Locations 2

Location 12401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3674
Location 21300 E Bradford PkwySpringfield, MO 65804-4264 · Phone (417) 761-5000 · Fax (417) 761-5011

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Bersted Ph.d. 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 Billing Reassignments

2

Medicare enrollment records show Kyle Bersted reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612

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 Bersted's NPI number?

The NPI number for Kyle Bersted is 1376996991. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Kyle Bersted located?

Kyle Bersted practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 563-1466.

What is Kyle Bersted's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kyle Bersted enrolled in Medicare?

Yes. Kyle Bersted is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Bersted's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Bersted reassigns Medicare benefits to 2 organizations: Rush University Medical Center (Chicago, IL) and Lurie Children's Medical Group Inc (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Bersted's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Bersted accept?

Health plans from Ambetter Health list Kyle Bersted 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 Kyle Bersted was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.