DR. KELLY GLAZER BARON (PH.D.) – Health Psychologist, NPI 1609001189

DR. KELLY GLAZER BARON (PH.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Health Psychologist. They hold the professional credentials PH.D.. They hold a License No. 071.007561 (IL). The NPI Number for DR. KELLY GLAZER BARON (PH.D.) is 1609001189

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY GLAZER BARON (PH.D.)
NPI
1609001189
Phone
(312) 503-5571
Address
710 N LAKE SHORE DR
Enumeration Date
27 May 2009
Last Update Date
19 October 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8015812121
Graduation Year
2010 (16 years ago)
PAC ID
9931254992
Group Practice PAC ID
0749262665
Professional Enrollment ID
I20181220003443

Contacts

Secure Messaging
kbaron313015@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. KELLY GLAZER BARON (PH.D.)

  • Abbott Hall, 710, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    10TH FLOOR

    CHICAGO, IL 606113006

    Phone: (312) 503-5571

    Fax: (312) 503-2777

    Type: Location

  • Northwestern University Law Library, 750, North Lake Shore Drive, Streeterville, Gold Coast, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60611, United States

    10TH FLOOR

    CHICAGO, IL 606113152

    Phone: (312) 503-5571

    Fax: (312) 503-2777

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181220003443IPsychiatryUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96158Treatment of behavior impacting health, initial 30 minutes5122$0
96156Assessment of health behavior2019$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749262665View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. KELLY GLAZER BARON (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1609001189 for DR. KELLY GLAZER BARON (PH.D.).
Does the public listing show DR. KELLY GLAZER BARON (PH.D.) as active?
DR. KELLY GLAZER BARON (PH.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KELLY GLAZER BARON (PH.D.) does?
Insurance directories may phrase it differently, but here DR. KELLY GLAZER BARON (PH.D.) maps to Health Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KELLY GLAZER BARON (PH.D.) in Chicago, Illinois?
For routing, start with Chicago, Illinois for DR. KELLY GLAZER BARON (PH.D.), then verify phone and hours locally.
Who maintains DR. KELLY GLAZER BARON (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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