NPIMap

Organization Active NPI

Sarah Kelder, Inc.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1073136446
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SARAH KELDER, INC.
Practice address
2603 S Washington St Ste 170
Naperville, IL 60565-6377
Phone
(331) 472-7132
NPI assigned
May 20, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Lowe Kelder, PSY.D.NPI 1346432986
Title
Owner
Phone
(630) 701-4903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2603 S Washington St Ste 170
Naperville, IL 60565-6377

Mailing address

5 Revere CT
Bolingbrook, IL 60440-1221
Phone (630) 701-4903

Other practice location 1

2081 Calistoga Dr Ste 2
New Lenox, IL 60451-4831
Phone (815) 418-6070

Other identifiers 1

IdentifierTypeStateIssuer
12391930OtherILCAQH

National Provider Directory

National Provider Directory

Locations

2081 Calistoga Dr
Ste 2
New Lenox, IL 60451
Phone (815) 418-6070

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1073136446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401221",
            "telephone_number": "630-701-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S WASHINGTON ST STE 170",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656377",
            "telephone_number": "331-472-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 Calistoga Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604514831",
            "country_code": "US",
            "telephone_number": "815-418-6070",
            "fax_number": "779-803-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARAH KELDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "KELDER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-701-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12391930",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.