Kelly K. Schilder, LTD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-006704 Issued in IL

Legal business name

KELLY K. SCHILDER, LTD.

Practice address

600 Davis St
Suite 3E
Evanston, IL 60201-4488

Phone

(773) 505-2755

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kelly S Ray, PH.D.

Title

President/Clinical Psychologist

Phone

(773) 505-2755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1497295307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DAVIS ST",
            "address_2": "SUITE 3E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014488",
            "telephone_number": "773-505-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAVIS ST",
            "address_2": "SUITE 3E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014488",
            "telephone_number": "773-505-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY K. SCHILDER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-505-2755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-006704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oumar Keita
• Patricia Ann Kelleher, M.D.
• Chad Michael Keller, PA
• Jodi Keller, M.S., LPC, NCC
• Kenneth Martin Lester Kellner, MD
• Allison Kelly, OTR
• Amy B Kelly, MA
• Ashley E. Kelly, APN-CNP
• Derek Joseph Kelly, MD
• James Francis Kelly, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.