Active NPI
Daniel J. Kelly, PSY.D.
- Clinical Psychologist
- Hinsdale, IL
National Provider Identifier
1730348871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-007967
- Practice address
- 15 Spinning Wheel Road
Suite 426
Hinsdale, IL 60521-2914 - Phone
- (630) 323-3050
- Fax
- (630) 323-3058
- NPI assigned
- Jun 4, 2008
- Last updated
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-007967 | IL | Primary |
Addresses
Primary practice location
15 Spinning Wheel Road
Suite 426
Hinsdale, IL 60521-2914
Mailing address
15 Spinning Wheel Road
Suite 426
Hinsdale, IL 60521-2914
Phone (630) 323-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-7671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-007967 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1730348871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SPINNING WHEEL ROAD",
"address_2": "SUITE 426",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212914",
"telephone_number": "630-323-3050",
"fax_number": "630-323-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SPINNING WHEEL ROAD",
"address_2": "SUITE 426",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212914",
"telephone_number": "630-323-3050",
"fax_number": "630-323-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-007967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.