Kyle Bersted, PH.D.
NPI 1376996991ActiveIndividual· Psychologist· Chicago, IL
Psychologist (PH.D.) in Chicago, Illinois, licensed in IL and MO, with an NPI issued in July 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1376996991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 19, 2016 |
| Last updated in NPPES | Dec 7, 2022 |
| Certified by provider | Dec 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 071009860 | IL |
| Psychologist | 103T00000X | 2017002001 | MO |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
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