DR. KIMBERLY LATRICE SANDERS (PSYD) – Clinical Psychologist, NPI 1497034961
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,603 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for DR. KIMBERLY LATRICE SANDERS (PSYD)
7010 S. UNION AVE
CHICAGO, IL 60621
Phone: (708) 925-4523
Type: Mailing
7010 S UNION AVE
CHICAGO, IL 606212418
Phone: (708) 925-4523
Type: Location
3034 RICHTON PL
RICHTON PARK, IL 604711321
Phone: (630) 286-9635
Type: Mailing
2100 N MAIN ST # 304
CROWN POINT, IN 463071877
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
3034 Richton Pl
Richton Park, IL 604711321
Phone: (630) 286-9635
Type: Location
12345 W 95th St Fl 2
Lenexa, KS 662153853
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
311 E Pleasant Valley Blvd Fl 2
Altoona, PA 166025512
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120227000812 | I | Clinical Psychologist | IL | TBD |
| I20250805002007 | I | Clinical Psychologist | IN | TBD |
| I20251023002477 | I | Clinical Psychologist | PA | TBD |
| I20251121001992 | I | Clinical Psychologist | OH | TBD |
| I20260128001385 | I | Clinical Psychologist | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 611 | 12 | $0 |
Insurance plans in this area (ZIP 60621)
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