KATHERINE HYDE BROTT PHD
NPI 1790650265
Psychologist in Chicago, IL

Active since October 06, 2025Opted out of Medicare · through Dec 5, 2027
1579 N MILWAUKEE AVE STE 317, CHICAGO, IL 60622(901) 896-9992 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Hyde Brott Phd NPPES

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

KATHERINE HYDE BROTT PHD (NPI 1790650265) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071.022331) and active in the NPI registry since October 2025. She has opted out of Medicare through December 5, 2027.

NPPES Registry Identity

NPI1790650265
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHERINE HYDE BROTTCredential: PHD
Location Address1579 N MILWAUKEE AVE STE 317Chicago, IL 60622-2765
Mailing Address1579 N Milwaukee Ave Ste 317Chicago, IL 60622-2765 · (901) 896-9992
Sole ProprietorNo
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1790650265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071.022331
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.
1579 N MILWAUKEE AVE STE 317, Chicago, IL 60622

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katherine Hyde Brott Phd 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 5, 2025 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2025
Opt-Out In Effect ThroughDecember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Brott's NPI number?

The NPI number for Katherine Brott is 1790650265. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Katherine Brott located?

Katherine Brott practices at 1579 N Milwaukee Ave Ste 317, Chicago, IL 60622. The listed phone number is (901) 896-9992.

What is Katherine Brott's specialty?

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

Is Katherine Brott enrolled in Medicare?

No. Katherine Brott has opted out of Medicare through December 5, 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 Katherine Brott was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.