DR. KELLY JANE BALK PSY.D., L.P.
NPI 1043605827
Psychologist - Clinical in Chicago, IL

Q: What is Kelly Balk's NPI number?

The NPI number for Kelly Balk is 1043605827. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Kelly Balk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kelly Balk enrolled in Medicare?

No. Kelly Balk has opted out of Medicare through February 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Balk was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2015Opted out of Medicare · through Feb 21, 2027

333 N MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601(773) 321-2761 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Jane Balk Psy.d., L.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY JANE BALK PSY.D., L.P. (NPI 1043605827) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.009051) and active in the NPI registry since March 2015. She has opted out of Medicare through February 21, 2027.

NPPES Registry Identity

NPI1043605827

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY JANE BALKCredential: PSY.D., L.P.

Location Address333 N MICHIGAN AVE, SUITE 1900Chicago, IL 60601-3901

Mailing Address916 W Diversey Pkwy, Unit 305Chicago, IL 60614-1884 · (608) 412-0626

Phone(773) 321-2761

Sole ProprietorYes

Enumeration DateMarch 30, 2015

✔ NPI 1043605827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.009051

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

333 N MICHIGAN AVE, Chicago, IL 60601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Jane Balk Psy.d., L.p. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2023 through February 21, 2027.

Opt-Out Effective DateFebruary 21, 2023

Opt-Out In Effect ThroughFebruary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AVIVA CAHN LCSW

Social Worker (Clinical)

333 N MICHIGAN AVE, SUITE 1801
CHICAGO, IL 60601

Cook County (773) 301-8576

KRISTIN CONLON

Psychologist (Clinical)

333 N MICHIGAN AVE
CHICAGO, IL 60601

Cook County (847) 759-9110

STEVEN ZUCKERMAN PH.D.

Marriage & Family Therapist

333 N MICHIGAN AVE, STE. #1801
CHICAGO, IL 60601

Cook County (847) 853-8639

LAUREN ELIZABETH NICKERSON MS, RD, LDN

Dietitian, Registered

333 N MICHIGAN AVE, SUITE 1900
CHICAGO, IL 60601

Cook County (312) 540-9955

HEATHER N.MCCOMBS, DPM,LLC

Podiatrist

333 N MICHIGAN AVE, SUITE 932
CHICAGO, IL 60601

Cook County (773) 883-1220

CHICAGO COMPASS COUNSELING, LLC

Social Worker (Clinical)

333 N MICHIGAN AVE
CHICAGO, IL 60601

Cook County (312) 715-8234

GINA PICCHIOTTI PSYD

Psychologist (Clinical)

333 N MICHIGAN AVE, 1900
CHICAGO, IL 60601

Cook County (773) 321-2758

LINDSAY BIRCHFIELD RD

Dietitian, Registered

333 N MICHIGAN AVE, FLOOR 19 INSIGHT BEHAVIORAL HEALTH
CHICAGO, IL 60601

Cook County (630) 291-5107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Balk's NPI number?

The NPI number for Kelly Balk is 1043605827. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Kelly Balk located?

Kelly Balk practices at 333 N Michigan Ave Suite 1900, Chicago, IL 60601. The listed phone number is (773) 321-2761.

What is Kelly Balk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Balk enrolled in Medicare?

No. Kelly Balk has opted out of Medicare through February 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Balk was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.