Kelly Schimmel Flanagan, PHD, LCP

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

071.007493 Issued in IL

Practice address

7 Blanchard Cir Ste 201
Wheaton, IL 60189-2039

Phone

(630) 653-2300

Fax

(630) 653-2895

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alliance Clinical Associates SC

  • Psychiatry Physician
  • Wheaton, IL
  • NPI 1144299769
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1588769434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892039",
            "telephone_number": "630-653-2300",
            "fax_number": "630-653-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892039",
            "telephone_number": "630-653-2300",
            "fax_number": "630-653-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KELLY",
        "middle_name": "SCHIMMEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.007493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen L. Fitzgerald, AUDITORYORALSPECIALI
• Kylie Ann Fitzgerald
• Katherine Donovan Flaherty, PA-C
• Megan C Flahive, D.O.
• Kelly Matthew Flanagan, PHD
• Maryellen Fleming-Price, APN
• Karen Fleming
• Tyneesha Fleming
• Sarah E Flock, MA, CCC-SLP/L
• Melissa Floeckher

• Clinical Child & Adolescent Psychologist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.