Becky Kalvelage-Roth, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

525 E North St
Suite B
Bradley, IL 60915-1185

Phone

(815) 933-0667

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1427599752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N MEADOW ST",
            "address_2": "P.O. BOX 295",
            "city": "GRANT PARK",
            "state": "IL",
            "postal_code": "609407077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E NORTH ST",
            "address_2": "SUITE B",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151185",
            "telephone_number": "815-933-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALVELAGE-ROTH",
        "first_name": "BECKY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua R Johnson, PA
• Cynthia Jones-Cameron
• Eddie Jones, MD
• Joyful Smiles Pediatric Dentistry of Bradley
• Jonathan Eric Jusko, RN, PA-C
• Kankakee County Training Center for the Disabled, Inc.
• Kankakee Valley Chiropractic
• Katie Kasper, NP-C
• Jordan Kempes
• Michael Preston King, OTR/L

• Psychologist in Bradley, IL
• Providers in Bradley, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.