STEPHANIE KELLY (NPI# 1447574595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447574595 |
| Entity Type | Individual |
| Full Name | STEPHANIE KELLY |
| Other Name | STEPHANIE MARK |
| Credential | M.A., PSYD |
| Practice Address |
3145 W Pratt Blvd Chicago IL 60645-4125 |
| Practice Telephone | 7734673700 |
| Mailing Telephone | 7734673700 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760420 | Stephanie Kelly | Counselor | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2018-08-21 |
| 1982067195 | Stephanie Marie Kelly | Licensed Practical Nurse | 5626 Bunbury Ter, Clay, NY 13041-6910 | 2016-04-04 |
| 1154766186 | Stephanie Albers Kelly | Technician | 2685 Leeds Ave, North Charleston, SC 29405-6861 | 2013-05-03 |
| 1710117700 | Stephanie Kelly | Physical Therapist | 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 | 2009-07-23 |
| 1619508017 | Stephanie Ann Kelly | Counselor | 207 W Morgan St, Brandon, FL 33510-4429 | 2020-02-04 |
| 1497296362 | Stephanie Lynn Kelly | Nurse Practitioner | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-5884 | 2017-03-13 |
| 1528417912 | Stephanie Beth Hampel Kelly | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2016-06-07 |
| 1780012484 | Stephanie Lyn Kelly | Marriage & Family Therapist | 2258 Camino Ramon, San Ramon, CA 94583-1353 | 2013-10-16 |
| 1578999322 | Stephanie Lynn Kelly | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-09-24 |
| 1487920849 | Stephanie L Kelly | Registered Nurse | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-03-29 |
| Street Address |
3145 W PRATT BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861510505 | Tamara Sue Besser | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2007-03-27 |
| 1437795960 | Alicia Rogers | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2019-11-19 |
| 1922643253 | Allison M Stevens | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2019-11-11 |
| 1477025203 | Daniel Lanctot | Counselor | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2018-12-18 |
| 1487121158 | Orli Rachel Ginsburg | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2018-10-30 |
| 1912407354 | Stephanie Mcconville | Psychologist | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2018-02-12 |
| 1548777840 | Yechiel M Silber | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2018-01-08 |
| 1457897225 | Shaina Campbell | Counselor | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2017-01-17 |
| 1710341359 | Julie Feldman | Social Worker | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2016-04-10 |
| 1225495484 | Hannah Elaine Berkenstock | Rehabilitation Practitioner | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2016-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1235750860 | Dia Anjali Mason | Psychologist | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 |
| 1811532880 | Emily Wolodiger | Psychologist | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 |
| 1518500099 | Allow Wellness LLC | Psychologist | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 |
| 1619510914 | Keeshawna Brooks | Psychologist | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 |
| 1104468800 | Emotion-focused Therapy Chicago, LLC | Psychologist | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 |
| 1124660022 | Lynne Lieberman | Psychologist | 325 S Paulina St, Chicago, IL 60612-3206 | 2019-10-11 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.