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DR. KIMBERLY J CHIVERS PSY.D.
NPI 1821427204
Psychologist - Clinical in Chicago, IL

Active since November 05, 2013Opted out of Medicare · through Jan 30, 2028
5412 N CLARK ST STE 204, CHICAGO, IL 60640(708) 655-3835 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kimberly J Chivers Psy.d. NPPES

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

DR. KIMBERLY J CHIVERS PSY.D. (NPI 1821427204) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071007991) and active in the NPI registry since November 2013. She has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1821427204
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY J CHIVERSCredential: PSY.D.
Location Address5412 N CLARK ST STE 204Chicago, IL 60640-1272
Mailing Address5315 N Clark St # 319Chicago, IL 60640-2290 · (708) 655-3835
Phone(708) 655-3835
Sole ProprietorYes
Enumeration DateNovember 5, 2013
✔ NPI 1821427204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007991
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180008812 (IL)
5412 N CLARK ST STE 204, Chicago, IL 60640
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kimberly J Chivers Psy.d. 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 January 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024
Opt-Out In Effect ThroughJanuary 30, 2028Opt-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 Kimberly Chivers's NPI number?

The NPI number for Kimberly Chivers is 1821427204. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Kimberly Chivers located?

Kimberly Chivers practices at 5412 N Clark St Ste 204, Chicago, IL 60640. The listed phone number is (708) 655-3835.

What is Kimberly Chivers's specialty?

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

Is Kimberly Chivers enrolled in Medicare?

No. Kimberly Chivers has opted out of Medicare through January 30, 2028. 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 Kimberly Chivers was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.