Individual provider Active NPI

Kelsey Nicole Christensen, PHD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1124764543
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010843 Issued in IL
Practice address
722 W Maxwell St Ste 235
Chicago, IL 60607-5002
Phone
(312) 996-2901
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.010843 IL Primary

Addresses

Primary practice location

722 W Maxwell St Ste 235
Chicago, IL 60607-5002

Mailing address

722 W Maxwell St
Chicago, IL 60607-5002

Other practice location 1

676 N Saint Clair St Ste 7-701
Chicago, IL 60611-2927
Phone (312) 695-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221109003138 IL Practitioner - Psychiatry 7618344318 Reassigns benefits to 5 organizations
I20250224002449 IL Practitioner - Clinical Psychologist 7618344318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

633 N Saint Clair St
Chicago, IL 60611-3234

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

676 N Saint Clair
Chicago, IL 60611-2927

676 N Saint Clair St
Chicago, IL 60611-2927

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.010843ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Psychologist CurrentSince Oct 4, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 4, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 4, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 4, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

676 N Saint Clair St
Ste 7701
Chicago, IL 60611
Phone (312) 926-2650

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

722 W Maxwell St
Ste 235
Chicago, IL 60607
Phone (312) 996-2901

722 W Maxwell St
Chicago, IL 60607
Phone (312) 996-2901

7825 Solution Ctr
Chicago, IL 60677

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1124764543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W MAXWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAXWELL ST STE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075002",
            "telephone_number": "312-996-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 7-701",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112927",
            "country_code": "US",
            "telephone_number": "312-695-7950",
            "fax_number": "312-926-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.