Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477576114 Individual Practitioner Male Practitioner

Dr. Kevin M. Krippner , PhD

Psychologist - Clinical • Normal, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Krippner, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Normal, IL. Practice services are available at 403 W VIRGINIA AVE under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

403 W Virginia Ave

Normal, IL 617613666

Telephone 3092685547
Fax 3092682913
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Normal, IL (4140 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
169 19 $300.00 $101.92
90791 Psychiatric diagnostic evaluation
14 14 $370.00 $177.95

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071004205

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 071004205

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
05732028

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Judy Ronan Woodburn , PhD

Psychologist - Clinical

NPI 1013937382

Doctor of Philosophy (Ph.D.)

Dr. Jolie Hoffmann , PsyD

Psychologist - Clinical

NPI 1144243882

Doctor of Psychology (Psy.D.)

Lori Osborne , MSW, LCSW

Social Worker - Clinical

NPI 1215950969

Master of Social Work, Licensed Clinical Social Worker

Dr. Faisal Ahmed , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1417069881

Doctor of Medicine (M.D.)

Dr. Carmen Chase , MD

Psychiatry & Neurology - Psychiatry

NPI 1487677100

Doctor of Medicine (M.D.)

Dr. John Florell , PhD

Marriage & Family Therapist

NPI 1538189840

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2015

Registered at 403 W VIRGINIA AVE, NORMAL, IL 617613666 (Tel: 3092685547)

📍
Updated Business Mailing Address October 26, 2015

Registered at 403 W VIRGINIA AVE, NORMAL, IL 617613666 (Tel: 3092685547)

👤
Provider Name / Credentials Updated October 26, 2015

Recorded as KEVIN KRIPPNER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2015

Counselor (License #071004205 in IL)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477576114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: October 26, 2015
Sole Proprietor: No

Mailing Address

403 W Virginia Ave

Normal, IL 617613666

Phone: 3092685547

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.