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DR. KELLY GLAZER BARON PH.D. NPI 1609001189


NPI Information

NPI: 1609001189
Provider Name: DR. KELLY GLAZER BARON, PH.D.
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

PECOS Registration: Yes

Address:
710 N LAKE SHORE DR
10TH FLOOR
CHICAGO, IL
ZIP 60611
Phone: (312) 503-5571
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DR. Kelly Glazer Baron, PH.D. is a health psychologist in Chicago, IL with 14 years of experience. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • DR. Kelly Glazer Baron, PH.D. NPI is 1609001189. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a female.

    Education
    Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
    Graduation Year:2010

    The provider's business location address is:

    710 N LAKE SHORE DR
    10TH FLOOR
    CHICAGO, IL
    ZIP 60611-006
    Phone: (312) 503-5571
    Fax: (312) 503-2777

    The NPI 1609001189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

    The enumeration date for this NPI number is 5/27/2009 and was last updated on 10/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral071.007561ILLINOISNo
2103TH0004XPsychologistHealth071.007561ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.