KELLY PHIPPS MAIERITSCH PH.D.
NPI 1114982451
Psychologist - Clinical in Hines, IL

Q: What is Kelly Maieritsch's NPI number?

The NPI number for Kelly Maieritsch is 1114982451. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Kelly Maieritsch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Maieritsch was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 19, 2006PECOS Enrolled

5TH & ROOSEVELT RD, HINES, IL 60141(708) 202-8387 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Phipps Maieritsch Ph.d. NPPES

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

KELLY PHIPPS MAIERITSCH PH.D. (NPI 1114982451) is an individual clinical provider in Hines, Illinois, licensed in Missouri (2004028685) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114982451

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY PHIPPS MAIERITSCHCredential: PH.D.

Location Address5TH & ROOSEVELT RDHines, IL 60141

Mailing Address5000 S 5th AveHines, IL 60141-3030 · (708) 202-8387

Phone(708) 202-8387

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateFebruary 28, 2013

✔ NPI 1114982451 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 MO · 2004028685

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.

5TH & ROOSEVELT RD, Hines, IL 60141

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Phipps Maieritsch Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. SCOTT WALTER MAIERITSCH PHD

Psychologist (Clinical)

5TH & ROOSEVELT RD
HINES, IL 60141

Cook County (708) 202-8387

DR. AJIT K. SACHDEVA M.D.

Surgery

5TH & ROOSEVELT RD, EDWARD HINES JR. VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-2036

MISS MINI A NEDUMGOTTIL OTR/L

Rehabilitation Hospital

5TH & ROOSEVELT RD
HINES, IL 60141

Cook County (708) 202-8387

DR. MEENAL B MAMDANI MD

Psychiatry & Neurology (Neurology)

5TH & ROOSEVELT RD, VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-2844

ELIZABETH MARIE BERZAC COMS

Specialist/Technologist (Rehabilitation, Blind)

5TH & ROOSEVELT RD
HINES, IL 60141

Cook County (708) 202-2212

MR. AARON RICE JR. CADC

Counselor (Addiction (Substance Use Disorder))

5TH & ROOSEVELT RD, HINES VA HOSPITAL
HINES, IL 60141

Cook County (708) 202-8387

MR. TIMOTHY PAUL KORWIN

Specialist/Technologist (Rehabilitation, Blind)

5TH & ROOSEVELT RD
HINES, IL 60141

Cook County (708) 202-4234

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 Maieritsch's NPI number?

The NPI number for Kelly Maieritsch is 1114982451. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Kelly Maieritsch located?

Kelly Maieritsch practices at 5th & Roosevelt Rd, Hines, IL 60141. The listed phone number is (708) 202-8387.

What is Kelly Maieritsch's specialty?

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

Is Kelly Maieritsch enrolled in Medicare?

Yes. Kelly Maieritsch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Maieritsch was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.