Kimberly S Nelson-Arrington, PSYD, PHD
Individual provider Active NPI Clinical Psychologist · Glenwood, IL
NPI 1114214020 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1114214020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071011441 (IL)
- Practice address
- 700 N Bruce LN Apt 307
Glenwood, IL 60425-1134 - Phone
- (708) 740-5263
- Fax
- (708) 248-6416
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071011441 | IL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071011441 | IL | Yes |
Addresses
Primary practice location
700 N Bruce LN Apt 307
Glenwood, IL 60425-1134
Mailing address
18300 S Halsted St Ste B
Glenwood, IL 60425-1051
Phone (312) 259-3166
Other practice location 1
13811 Western Ave Bldg D
Blue Island, IL 60406-3228
Phone (708) 252-3185
Other providers in Glenwood, IL
- Kierra Langston
- Kendall Divante Leonard
- Justina Renee McFadden
- Michelle Meeks
- Missing Piece Behavioral Services, LLC
- Nephesh Wellness LLC
- Philomena Odiase
- On Purpose Clinical Services LLC
- Perfect Peace Therapy, LLC
- Richard Phillips
All providers in Glenwood, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.