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Dr. Kyle Bersted , PhD

Psychologist β€’ Chicago, IL

Active NPI 1376996991 Individual Practitioner Male Practitioner
Practice location in NPPES

1653 W Congress Pkwy
Chicago, IL 606123833

Call 3125631466 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1653 W Congress Pkwy

Chicago, IL 606123833

Telephone 3125631466
Organization at the Same NPPES Address or Phone
University Pathologists P C Facility NPI 1003890534

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Kansas City, MO; Springfield, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bersted has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bersted as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

333 active clinicians are listed under Psychologist with a practice address in Chicago, IL (1,011 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

8.7% of these 333 clinicians have the CMS telehealth indicator.

13.5% of these 333 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-07
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES IL 071009860

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MO 2017002001

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.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20181019002325

Enrollment State Jurisdiction

IL

PECOS Control ID

5496011397

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2401 Gillham Rd

Kansas City, MO 641084619

Phone: 8162343674

1300 E Bradford Pkwy

Springfield, MO 658044264

Phone: 4177615000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Pooja Agarwal

Psychiatry & Neurology - Psychiatry

NPI 1407411689
Heidi Aguilar , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043703796

Certified Registered Nurse Anesthetist

Melissa Alandy , CRNA

Nurse Anesthetist, Certified Registered

NPI 1568996833

Certified Registered Nurse Anesthetist

Dr. Gillian Alex , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1851730907

Doctor of Medicine (M.D.)

NPI 1114238276

Doctor of Osteopathic Medicine (D.O.)

Dr. Sandeep Amin , MD

Pain Medicine - Interventional Pain Medicine

NPI 1184792251

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location December 07, 2022

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 3125631466)

πŸ“
Updated Business Mailing Address December 07, 2022

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 3125631466)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2022

Psychologist (license number reported to NPPES: MO 2017002001)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Psychologist

βœ…
NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 29, 2017

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

πŸ“
Updated Business Mailing Address August 29, 2017

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: (417) 761-5000)

πŸ‘€
Provider Name / Credentials Updated August 29, 2017

Recorded as KYLE BERSTED, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Psychologist (license number reported to NPPES: MO 2017002001)

βœ…
NPI Profile Active July 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2016

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343674)

πŸ“
Business Mailing Address (Initial Record) July 19, 2016

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343674)

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2016

Recorded as KYLE BERSTED, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2016

Psychologist

🟒
Initial NPI Registration & Enumeration July 19, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376996991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2016
Last Update: December 07, 2022
Sole Proprietor: No

Other Psychologists in Chicago

All Psychologists in Chicago

Mailing Address

1653 W Congress Pkwy

Chicago, IL 606123833

Phone: 3125631466

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.