Kelly Renzi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007402 Issued in IL

Practice address

14722 S Naperville Rd Ste 116
Plainfield, IL 60544-3310

Phone

(815) 683-8700

NPI assigned

Jan 3, 2008

Sex

Female

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

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

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

A New Day Counseling and Family Wellness Inc NFPGroup PAC ID 2062897507, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A New Day Counseling & Family Wellness, Inc. NFP

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1275296899
  Medicare reassignment Care Compare group NPD
• A New Day Family Counseling

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1013538131
  Medicare reassignment NPD

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1912182304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14722 S NAPERVILLE RD STE 116",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443310",
            "telephone_number": "815-683-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14722 S NAPERVILLE RD STE 116",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443310",
            "telephone_number": "815-683-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZI",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "071007402",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D. Regan, APN-CNP
• Ruthanne E Reiter, LCSW, CADC
• Kathleen Dorothy Reitmann
• Reliance Children's Health Center Inc
• Reliant Senior Living LLC (Living Rehab)
• Michelle Anne Reroma
• Restorative Psychiatry Inc.
• Restore Health and Wellness PC
• Molly Margaret Revis, PA-C
• Revival Rehab PC

• Clinical Psychologist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.

Verify at the official NPI Registry.