Individual provider Active NPI

Patrick J Kennelly, PHD

  • Psychologist
  • Schaumburg, IL
National Provider Identifier
1720078157
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1340 Remington Rd
Suite N
Schaumburg, IL 60173-4821
Phone
(847) 310-8578
Fax
(847) 310-9651
NPI assigned
Oct 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

1340 Remington Rd
Suite N
Schaumburg, IL 60173-4821

Mailing address

1340 Remington Rd
Suite N
Schaumburg, IL 60173-4821
Phone (847) 310-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000447 IL Practitioner - Clinical Psychologist 3971492174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walking Together Therapy Associates PCGroup PAC ID 1557844768, 5 clinicians
Patrick J Kennelly and Associates P CGroup PAC ID 2860425113, 6 clinicians

Practice addresses (Care Compare)

1340 Remington Rd
Suite N
Schaumburg, IL 60173-4821
Phone (847) 310-8578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-002953ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick J Kennelly and Associates P C CurrentSince Jun 1, 2003 Accepting new patients
Walking Together Therapy Associates PC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1340 Remington Rd
Ste N
Schaumburg, IL 60173
Phone (630) 310-8578

528 W Roosevelt Rd
Ste 201
Wheaton, IL 60187
Phone (847) 310-8578

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720078157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD",
            "address_2": "SUITE N",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734821",
            "telephone_number": "847-310-8578",
            "fax_number": "847-310-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD",
            "address_2": "SUITE N",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734821",
            "telephone_number": "847-310-8578",
            "fax_number": "847-310-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.