Individual provider Active NPI

Kelly Graham Hoffmann, PSYD

  • Clinical Psychologist
  • Mount Prospect, IL
National Provider Identifier
1144397001
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
71006989 Issued in IL
Practice address
800 E Northwest Hwy Ste 206
Mount Prospect, IL 60056-3457
Phone
(847) 696-1100
NPI assigned
Nov 29, 2006
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 71006989 IL Primary

Addresses

Primary practice location

800 E Northwest Hwy Ste 206
Mount Prospect, IL 60056-3457

Mailing address

6055 N Forest Glen Ave
Chicago, IL 60646-5013
Phone (312) 339-8189

Other identifiers 1

IdentifierTypeStateIssuer
71006989MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409000728 IL Practitioner - Clinical Psychologist 1759521065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgemiller Whyte and Associates PCGroup PAC ID 6002869591, 6 clinicians

Practice addresses (Care Compare)

800 E Northwest Hwy
Suite 206
Mount Prospect, IL 60056-3457
Phone 8476961100135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006989ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgemiller, Whyte & Associates, PC Clinical CurrentSince Feb 8, 2026 Accepting new patients

Locations

800 E Northwest Hwy
Ste 206
Mt Prospect, IL 60056
Phone (847) 483-0200

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1144397001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 N FOREST GLEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465013",
            "telephone_number": "312-339-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 206",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-696-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "KELLY",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71006989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71006989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.