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

Dr. Kyle Joseph Jennette, PHD

Individual provider Clinical Neuropsychologist · NPI 1083354641

Dr. Kyle Joseph Jennette, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2022
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

912 S Wood St
Chicago, IL 60612-4300
Phone: (312) 996-0123
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.010665 (IL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 071.010665 (IL)
Psychologist Taxonomy 103T00000X · Licence 071.010665 (IL)

Record details

NPI number1083354641
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chicago