Individual provider Active NPI

Daniel G Kelley

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1912038357
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004574 Issued in IL
Practice address
151 N Michigan Ave
Ste 1718
Chicago, IL 60601-7539
Phone
(312) 565-1111
NPI assigned
Mar 8, 2007
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071004574 IL Primary
Health Service Psychologist 103TH0100X 20041889A IN

Addresses

Primary practice location

151 N Michigan Ave
Ste 1718
Chicago, IL 60601-7539

Mailing address

924 W 75TH St Ste 120-308
Naperville, IL 60565-6193
Phone (630) 904-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071004574ILMDClinical Psychologist
20041889AINMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Medicine, LTD. Clinical CurrentSince Mar 7, 2021 Accepting new patients
Joseph Beck MD LTD Past Accepting new patients

Locations

924 W 75th St
Ste 120308
Naperville, IL 60565

931 W 75th St
Ste 137
Naperville, IL 60565

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1912038357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W 75TH ST STE 120-308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656193",
            "telephone_number": "630-904-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "STE 1718",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017539",
            "telephone_number": "312-565-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DANIEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004574",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20041889A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.