Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. K. Lara Beanblossom, PSYD

Individual provider Clinical Psychologist · NPI 1427184795

Dr. K. Lara Beanblossom, PSYD is a Clinical Psychologist in Winnetka, Illinois. Qualified in 2000, 26 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

545 Lincoln Ave Ste 4
Winnetka, IL 60093-2349
Phone: (312) 385-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 N Michigan Ave, Chicago, IL 60602-3767 — (312) 385-9777

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071006369 (IL)

Record details

NPI number1427184795
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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