SHAYNE KELLY MA, PSYD
NPI 1124906771
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Shayne Kelly's NPI number?

The NPI number for Shayne Kelly is 1124906771. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Q: What is Shayne Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shayne Kelly was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 August 22, 2025

400 E SOUTH WATER ST APT 3201, CHICAGO, IL 60601(224) 639-0167 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shayne Kelly Ma, Psyd NPPES

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

SHAYNE KELLY MA, PSYD (NPI 1124906771) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1124906771

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHAYNE KELLYCredential: MA, PSYD

Location Address400 E SOUTH WATER ST APT 3201Chicago, IL 60601-4072

Mailing Address400 E South Water St Apt 3201Chicago, IL 60601-4072 · (224) 639-0167

Phone(224) 639-0167

Sole ProprietorNo

Enumeration DateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1124906771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 E SOUTH WATER ST APT 3201, Chicago, IL 60601

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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 Shayne Kelly's NPI number?

The NPI number for Shayne Kelly is 1124906771. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Shayne Kelly located?

Shayne Kelly practices at 400 E South Water St Apt 3201, Chicago, IL 60601. The listed phone number is (224) 639-0167.

What is Shayne Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shayne Kelly was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.