Individual provider Active NPI

Kelsey Critchell, PSYD

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1629517024
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009495 Issued in IL
Practice address
636 Church St Ste 508
Evanston, IL 60201-4581
Phone
(773) 669-8616
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 071.009495 IL Primary

Addresses

Primary practice location

636 Church St Ste 508
Evanston, IL 60201-4581

Mailing address

636 Church St Ste 508
Evanston, IL 60201-4581
Phone (773) 669-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 13, 2023 through Dec 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.009495ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Critchell Psychological Services PLLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

636 Church St
Ste 508
Evanston, IL 60201
Phone (773) 669-8616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1629517024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 508",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "773-669-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 508",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "773-669-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHELL",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.