KELLY L POLNASZEK PHD
NPI 1396694667
Psychologist - Clinical in Chicago, IL

Active since January 28, 2026
1411 W GRACE ST APT 3E, CHICAGO, IL 60613(630) 956-4346 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly L Polnaszek Phd NPPES

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

KELLY L POLNASZEK PHD (NPI 1396694667) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.022330) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1396694667
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY L POLNASZEKCredential: PHD
Location Address1411 W GRACE ST APT 3EChicago, IL 60613-3683
Mailing Address1411 W Grace St Apt 3eChicago, IL 60613-3683 · (630) 956-4346
Sole ProprietorNo
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1396694667 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 · 071.022330
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.

1411 W GRACE ST APT 3E, Chicago, IL 60613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396694667, enumerated as an "individual" on January 28, 2026.

The provider is located at 1411 W GRACE ST APT 3E CHICAGO, IL 60613 and the phone number is (630) 956-4346.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.