Pcpa Legacy, LLC
NPI 1093030132 · Clinical Psychologist · Northbrook, IL
Pcpa Legacy, LLC is a Clinical Psychologist organization in Northbrook, IL (NPI 1093030132).
Provider details
- NPI number
- 1093030132
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paul Kredow, Provider/Owner(847) 630-1611
- License
- 071-004395 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pcpa Legacy. LLC
- Former legal business name
- Primary Care Psychology Assocaites, LLC
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2023-09-06
- Certified
- 2022-10-27
Frequently asked questions
- What is Pcpa Legacy, LLC's NPI number?
- Pcpa Legacy, LLC's National Provider Identifier (NPI) is 1093030132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcpa Legacy, LLC?
- Pcpa Legacy, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Pcpa Legacy, LLC located?
- Pcpa Legacy, LLC's practice location on file with NPPES is 400 Skokie Blvd Ste 245, Northbrook, IL 60062-7932.
- What is Pcpa Legacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pcpa Legacy, LLC is (847) 630-1611.
- Who is the authorized official for Pcpa Legacy, LLC?
- The authorized official listed on Pcpa Legacy, LLC's NPPES record is Paul Kredow, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcpa Legacy, LLC's NPI active?
- Yes — Pcpa Legacy, LLC's NPI (1093030132) is active in the NPPES registry as of the last update on 2023-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.