DR. EDWARD J KLUTCHARCH PSY.D.
NPI 1861734600
Psychologist - Clinical in Countryside, IL
About Dr. Edward J Klutcharch Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD J KLUTCHARCH PSY.D. (NPI 1861734600) is an individual clinical provider in Countryside, Illinois, licensed in Illinois (071008553) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edward J Klutcharch Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edward Klutcharch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Countryside, IL 60525
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1225209414 (Illinois)
- 10 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COUNTRYSIDE, IL 60525
COUNTRYSIDE, IL 60525
COUNTRYSIDE, IL 60525
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 Edward Klutcharch's NPI number?
The NPI number for Edward Klutcharch is 1861734600. It was assigned to this individual provider in the NPPES registry on March 19, 2013.
Where is Edward Klutcharch located?
Edward Klutcharch practices at 6502 Joliet Rd, Countryside, IL 60525. The listed phone number is (708) 608-1167.
What is Edward Klutcharch's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Edward Klutcharch enrolled in Medicare?
Yes. Edward Klutcharch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edward Klutcharch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Klutcharch reassigns Medicare benefits to Oak Forest Psychological Service (Countryside, IL). The 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 Edward Klutcharch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Klutcharch accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Edward Klutcharch 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 Edward Klutcharch was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Edward J Klutcharch, PSY.D. · NPI 1861734600
Clinical provider in Countryside, Illinois. Individual provider, active in the CMS NPPES registry since March 19, 2013.
## Identity
- **NPI:** 1861734600 (Entity type: Individual)
- **Enumerated:** March 19, 2013
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071008553 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6502 JOLIET RD, Countryside, IL 60525-4682
- **Phone:** (708) 608-1167
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Oak Forest Psychological Service (NPI 1265487060, Countryside, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1861734600) · Data from the CMS NPPES public registry.