Organization Active NPI

Dr. Kelly Hird & Psychological Associates

  • Clinical Psychologist
  • Joliet, IL
National Provider Identifier
1619203346
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007734 Issued in IL
Legal business name
DR. KELLY HIRD & PSYCHOLOGICAL ASSOCIATES
Practice address
1000 Essington Rd
Joliet, IL 60435-2841
Phone
(815) 768-9688
Fax
(815) 744-1681
NPI assigned
Oct 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

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

Authorized official

Name
Dr. Kelly M Hird, PSY.D., C.A.D.C.NPI 1326211947
Title
Clinical Psychologist
Phone
(815) 768-9688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 071007734 IL Primary

Addresses

Primary practice location

1000 Essington Rd
Joliet, IL 60435-2841

Mailing address

1000 Essington Rd
Joliet, IL 60435-2841
Phone (815) 768-9688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256947200000",
    "number": "1619203346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-768-9688",
            "fax_number": "815-744-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-768-9688",
            "fax_number": "815-744-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KELLY HIRD & PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A",
        "authorized_official_last_name": "HIRD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-768-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., C.A.D.C."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.