Michael Edward Kell, R.N, L.C.S.W.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

041.173569 Issued in IL

Practice address

6808 N Wayne Ave
Chicago, IL 60626-3718

Phone

(773) 537-3615

Fax

(773) 537-3466

NPI assigned

Mar 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westmont, IL
  • NPI 1083590996
  NPD (past)
• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1518114404
  NPD (past)

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1750689949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453005",
            "telephone_number": "773-973-2126",
            "fax_number": "773-537-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 N WAYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263718",
            "telephone_number": "773-537-3615",
            "fax_number": "773-537-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "R.N, L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011523",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041.173569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwin Kelkar
• Sudhir L Kelkar, M.D.
• Uma S Kelkar, MOT
• James Kell, PA
• Maeve Catherine Kell
• Kapil Kella, D.D.S.
• Destiny Kellam, MD
• Amelia Suzanne Kellar, MD, MSC, FRCPC
• Angel Michelle Kellark, MSW
• Aileen Kelleher, LCSW

• Psychiatric/Mental Health Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.