Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164729620 Individual Practitioner Male Practitioner

James John Kotleba , LIC CLINICAL PSYCHOL

Psychologist • West Dundee, IL

Professional Overview & Biography Verified Profile Summary

James Kotleba, LIC CLINICAL PSYCHOL is a registered healthcare professional specializing in Psychologist in West Dundee, IL. Practice services are available at 745 S 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

745 S 8th St

West Dundee, IL 601183602

Telephone 8004287260
Fax 8474287269
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in West Dundee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
1 Specialists

Practicing in West Dundee, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071-002484

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

NUCC Taxonomy Code: 103TC0700X

State License IL 071002484

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Steven Davis , LCPC

Counselor - Professional

NPI 1124158951

Licensed Clinical Professional Counselor

Mark Hasselman , LCSW

Social Worker - Clinical

NPI 1255462024

Licensed Clinical Social Worker

Deborah Kivett , LCSW

Social Worker - Clinical

NPI 1265562094

Licensed Clinical Social Worker

Page Poris , LCPC

Counselor - Professional

NPI 1669503439

Licensed Clinical Professional Counselor

Julie Glass , LCSW

Social Worker - Clinical

NPI 1780714501

Licensed Clinical Social Worker

John Buckley , LCPC

Counselor - Professional

NPI 1841320645

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2011

Registered at 745 S 8TH ST, WEST DUNDEE, IL 601183602 (Tel: 8004287260)

📍
Updated Business Mailing Address December 13, 2011

Registered at 745- S 8TH ST, W. DUNDEE, IL 60118 (Tel: 8474287260)

👤
Provider Name / Credentials Updated December 13, 2011

Recorded as JAMES KOTLEBA, LIC CLINICAL PSYCHOL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Psychologist (License #071-002484 in IL)

🟢
Initial NPI Registration & Enumeration February 18, 2011

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: 1164729620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2011
Last Update: December 13, 2011
Sole Proprietor: Yes

Mailing Address

745- S 8th St

W. Dundee, IL 60118

Phone: 8474287260

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.