NPIMap

Organization Active NPI

Dr Kelly Psychology Inc

  • Psychologist
  • Wheaton, IL
National Provider Identifier
1912805805
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR KELLY PSYCHOLOGY INC
Practice address
2203 Stonegate LN
Wheaton, IL 60189-7808
Phone
(248) 765-7127
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Kelly Combs, PSYDNPI 1417516824
Title
Psychologist
Phone
(248) 765-7127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2203 Stonegate LN
Wheaton, IL 60189-7808

Mailing address

2203 Stonegate LN
Wheaton, IL 60189-7808
Phone (248) 765-7127

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1912805805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 STONEGATE LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897808",
            "telephone_number": "248-765-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 STONEGATE LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897808",
            "telephone_number": "248-765-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KELLY PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-765-7127",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.