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KATHERINE E EDSTROM PHD
NPI 1740336502
Psychologist - Clinical in Chicago, IL

Active since January 26, 2007
30 NORTH MICHIGAN AVENUE, SUITE 717, CHICAGO, IL 60602(312) 629-5653(708) 445-0617 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine E Edstrom Phd NPPES

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

KATHERINE E EDSTROM PHD (NPI 1740336502) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1740336502
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHERINE E EDSTROMCredential: PHD
Location Address30 NORTH MICHIGAN AVENUE, SUITE 717Chicago, IL 60602
Mailing Address30 North Michigan Avenue, Suite 717Chicago, IL 60602 · (312) 629-5653 · Fax (708) 445-0617
Phone(312) 629-5653
Fax(708) 445-0617
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740336502 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.
30 NORTH MICHIGAN AVENUE, Chicago, IL 60602
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Other Identifiers 1

Medicare ID-Type Unspecified934861

Other Providers at the Same Location NPPES 2

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

DR. KAREN LESLIE JAFFE PSY.D.
Psychologist (Clinical)
30 NORTH MICHIGAN AVENUE, SUITE 607
CHICAGO, IL 60602
Cook County (312) 263-1780
MRS. MARGARET LANDON MASON MA, LCPC
Counselor (Professional)
30 NORTH MICHIGAN AVENUE, SUITE 1920
CHICAGO, IL 60602
Cook County (312) 263-4368

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 Katherine Edstrom's NPI number?

The NPI number for Katherine Edstrom is 1740336502. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Katherine Edstrom located?

Katherine Edstrom practices at 30 North Michigan Avenue Suite 717, Chicago, IL 60602. The listed phone number is (312) 629-5653.

What is Katherine Edstrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Katherine Edstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.