DR. BRADLEY C. KAHLE (PSYD) – Psychologist, NPI 1710065412

DR. BRADLEY C. KAHLE (PSYD) is a healthcare provider. based in Wheaton, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. The NPI Number for DR. BRADLEY C. KAHLE (PSYD) is 1710065412

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY C. KAHLE (PSYD)
NPI
1710065412
Phone
(630) 653-1717
Address
2100 MANCHESTER RD
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3317074031
Graduation Year
1992 (34 years ago)
PAC ID
4284871989
Group Practice PAC ID
0840680575
Professional Enrollment ID
I20130517000275
Address ID
IL601741409ST2580XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. BRADLEY C. KAHLE (PSYD)

  • Theisen & Roche, Ltd., 2100, Manchester Road, Wheaton, DuPage County, Illinois, 60187, United States

    SUITE 1510

    WHEATON, IL 601874579

    Phone: (630) 653-1717

    Fax: (630) 653-1025

    Mailing address matches the actual address.

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: 2013-05-17

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
I20130517000275IClinical PsychologistILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60187)

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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: 0840680575View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistMO
Clinical PsychologistMO
Clinical PsychologistIL
Clinical PsychologistOH
Clinical PsychologistIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRADLEY C. KAHLE (PSYD)?
NPI 1710065412 is assigned to DR. BRADLEY C. KAHLE (PSYD) under the national enumeration system.
Does this profile mean DR. BRADLEY C. KAHLE (PSYD) is currently active?
Yes — DR. BRADLEY C. KAHLE (PSYD) appears active in the national provider directory.
What field does DR. BRADLEY C. KAHLE (PSYD) work in?
You can think of DR. BRADLEY C. KAHLE (PSYD) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. BRADLEY C. KAHLE (PSYD)'s primary listing?
We display Wheaton, Illinois because that is what the record indicates for DR. BRADLEY C. KAHLE (PSYD).
How can I contact DR. BRADLEY C. KAHLE (PSYD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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