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DR. THERESA ANN KELLY PSY.D.
NPI 1477663763
Psychologist - Clinical in Marion, IL

Active since August 30, 2006
2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa Ann Kelly Psy.d. NPPES

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

DR. THERESA ANN KELLY PSY.D. (NPI 1477663763) is an individual clinical provider in Marion, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477663763
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THERESA ANN KELLYCredential: PSY.D.
Location Address2401 W MAIN STMarion, IL 62959-1188
Mailing Address100 North 43rd StreetHerrin, IL 62948 · (618) 364-4415
Phone(618) 997-5311
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477663763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2401 W MAIN ST, Marion, IL 62959
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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.

MICHELE A OTTO RN
Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 993-4168
AARON JOSEPH RUZICH
Physical Therapy Assistant
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 993-4557
LOGHAN MATYI REGISTERED NURSE
Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
RAY G BAYER OTR/L
Occupational Therapist
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-8708
JOEL HAMILTON MS, PHD, RD, RDN
Dietitian, Registered
2401 W MAIN ST
MARION, IL 62959
Williamson County (270) 444-8465
TAMEEKA MARVIN
Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
MRS. BOBBIE JANE EMERY RN
Registered Nurse (Ambulatory Care)
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
MRS. LESLI ERIN NOTO RN
Registered Nurse (Oncology)
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311

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 Theresa Kelly's NPI number?

The NPI number for Theresa Kelly is 1477663763. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Theresa Kelly located?

Theresa Kelly practices at 2401 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5311.

What is Theresa Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.