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STEPHANIE KELLY PSYD
NPI 1447574595
Psychologist - Clinical in Orland Park, IL

Active since March 18, 2010PECOS Enrolled
7620 W 159TH ST STE 101, ORLAND PARK, IL 60462(708) 714-7377 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Kelly Psyd NPPES

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

STEPHANIE KELLY PSYD (NPI 1447574595) is an individual clinical provider in Orland Park, Illinois, licensed in Illinois (071.009850) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447574595
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE KELLYCredential: PSYD
Location Address7620 W 159TH ST STE 101Orland Park, IL 60462-5400
Mailing Address7620 W 159th St Ste 101Orland Park, IL 60462-5400 · (708) 714-7377
Phone(708) 714-7377
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 18, 2010
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1447574595 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 · 071.009850
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.
7620 W 159TH ST STE 101, Orland Park, IL 60462
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Other Names 1

Former Name (1)Stephanie Mark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Kelly Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436402153
PECOS Enrollment IDI20181026001482
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Thriving You, PLLC
Same address
Clinical
7620 W 159TH ST STE 101
Orland Park, IL 60462
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1659085470 (708) 232-3302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60462 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

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

THE THRIVING YOU, PLLC
Psychologist (Clinical)
7620 W 159TH ST STE 101
ORLAND PARK, IL 60462
Cook County (708) 232-3302

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 Stephanie Kelly's NPI number?

The NPI number for Stephanie Kelly is 1447574595. It was assigned to this individual provider in the NPPES registry on March 18, 2010. The provider is also known as Stephanie Mark.

Where is Stephanie Kelly located?

Stephanie Kelly practices at 7620 W 159th St Ste 101, Orland Park, IL 60462. The listed phone number is (708) 714-7377.

What is Stephanie Kelly's specialty?

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

Is Stephanie Kelly enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kelly reassigns Medicare benefits to The Thriving You, PLLC (Orland Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Kelly was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.