IndividualActive
Kirk Erickson, PSY.D.
NPI 1629346853 · Clinical Psychologist · Long Grove, IL
Provider details
- NPI number
- 1629346853
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071004736 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4160 Route 83
Suite 204
Long Grove, IL 60047-5083
Phone: (847) 604-0734
Street-level locationGet directions
Mailing address
4160 Rte 83, Suite 204
Long Grove, IL 60047
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2011-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.