DR. KELSEY CRITCHELL PSYD
NPI 1629517024
Psychologist - Clinical in Evanston, IL

Active since February 17, 2017Opted out of Medicare · through Dec 13, 2027
636 CHURCH ST STE 508, EVANSTON, IL 60201(773) 669-8616 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Dec 13, 2023, Apr 10, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Kelsey Critchell Psyd NPPES

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

DR. KELSEY CRITCHELL PSYD (NPI 1629517024) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071.009495) and active in the NPI registry since February 2017. She has opted out of Medicare through December 13, 2027.

NPPES Registry Identity

NPI1629517024
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELSEY CRITCHELLCredential: PSYD
Location Address636 CHURCH ST STE 508Evanston, IL 60201-4581
Mailing Address636 Church St Ste 508Evanston, IL 60201-4581 · (773) 669-8616
Sole ProprietorYes
Enumeration DateFebruary 17, 2017
Last NPPES UpdateMay 14, 20254 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1629517024 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 · 071.009495
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.
636 CHURCH ST STE 508, Evanston, IL 60201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kelsey Critchell Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2023 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2023
Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
636 CHURCH ST STE 508
EVANSTON, IL 60201

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 Kelsey Critchell's NPI number?

The NPI number for Kelsey Critchell is 1629517024. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Where is Kelsey Critchell located?

Kelsey Critchell practices at 636 Church St Ste 508, Evanston, IL 60201. The listed phone number is (773) 669-8616.

What is Kelsey Critchell's specialty?

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

Is Kelsey Critchell enrolled in Medicare?

No. Kelsey Critchell has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelsey Critchell was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.