KALEIDOSCOPE CENTER CORP
NPI 1669240867
Psychologist - Clinical in O Fallon, IL

Q: What is Kaleidoscope Center Corp's NPI number?

The NPI number for Kaleidoscope Center Corp is 1669240867. It was assigned to this organization in the NPPES registry on December 18, 2023. The provider is doing business as Kaleidoscope Center For Autism and Neurodevelopment.

Q: What is Kaleidoscope Center Corp's specialty?

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

Active since December 18, 2023

630 PIERCE BLVD STE 300, O FALLON, IL 62269(618) 221-9677 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaleidoscope Center Corp NPPES

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

KALEIDOSCOPE CENTER CORP (NPI 1669240867), doing business as Kaleidoscope Center For Autism And Neurodevelopment, is a healthcare organization registered as a clinical in O Fallon, Illinois and active in the NPI registry since December 2023. The organization lists Rachel Minelli, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1669240867

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKALEIDOSCOPE CENTER CORP

Location Address630 PIERCE BLVD STE 300O Fallon, IL 62269-2583

Mailing Address7020 Fairbanks StO Fallon, IL 62269-7076

Phone(618) 221-9677

Organization SubpartNo

Authorized OfficialRachel MinelliOwner/clinical Psychologist · (618) 221-9677

Enumeration DateDecember 18, 2023

NPPES CertifiedDecember 17, 2023

✔ NPI 1669240867 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.

630 PIERCE BLVD STE 300, O Fallon, IL 62269

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Other Names 1

Doing Business AsKaleidoscope Center For Autism And Neurodevelopment

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kaleidoscope Center Corp's NPI number?

The NPI number for Kaleidoscope Center Corp is 1669240867. It was assigned to this organization in the NPPES registry on December 18, 2023. The provider is doing business as Kaleidoscope Center For Autism and Neurodevelopment.

Where is Kaleidoscope Center Corp located?

Kaleidoscope Center Corp is located at 630 Pierce Blvd Ste 300, O Fallon, IL 62269. The listed phone number is (618) 221-9677.

What is Kaleidoscope Center Corp'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 Kaleidoscope Center Corp was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.