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PAUL KELLY
NPI 1629773478
Psychologist - Cognitive & Behavioral in Chicago, IL

Active since April 03, 2023
7921 S TRUMBULL AVE, CHICAGO, IL 60652(708) 728-5460 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Kelly NPPES

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

PAUL KELLY (NPI 1629773478) is an individual cognitive & behavioral provider in Chicago, Illinois, licensed in Illinois (KELL-GLU4KJ) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1629773478
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NamePAUL KELLY
Location Address7921 S TRUMBULL AVEChicago, IL 60652-1454
Mailing Address7921 S Trumbull AveChicago, IL 60652-1454 · (708) 728-5460
Phone(708) 728-5460
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1629773478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in IL · KELL-GLU4KJ
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178020309 (IL)
7921 S TRUMBULL AVE, Chicago, IL 60652
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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 Paul Kelly's NPI number?

The NPI number for Paul Kelly is 1629773478. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Paul Kelly located?

Paul Kelly practices at 7921 S Trumbull Ave, Chicago, IL 60652. The listed phone number is (708) 728-5460.

What is Paul Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Paul Kelly was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.