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DR. KELLY ANN R. PARISO PSYD
NPI 1841796307
Psychologist - Clinical in Buffalo Grove, IL

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1450 BUSCH PKWY STE 103, BUFFALO GROVE, IL 60089(847) 696-1100 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kelly Ann R. Pariso Psyd NPPES

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

DR. KELLY ANN R. PARISO PSYD (NPI 1841796307) is an individual clinical provider in Buffalo Grove, Illinois, licensed in Illinois (071009767) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841796307
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY ANN R. PARISOCredential: PSYD
Location Address1450 BUSCH PKWY STE 103Buffalo Grove, IL 60089-4541
Mailing Address149 Chatsworth CirSchaumburg, IL 60194-5152
Phone(847) 696-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2018
✔ NPI 1841796307 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 · 071009767
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.
1450 BUSCH PKWY STE 103, Buffalo Grove, IL 60089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Ann R. Pariso Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911259395
PECOS Enrollment IDI20181012001063
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 Kelly Ann Pariso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgemiller, Whyte & Associates, PC
7.9 mi
Clinical
800 E NORTHWEST HIGHWAY, STE 206
Mount Prospect, IL 60056
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1912984774 (847) 696-1100

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 60089 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Kelly Ann Pariso's NPI number?

The NPI number for Kelly Ann Pariso is 1841796307. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Kelly Ann Pariso located?

Kelly Ann Pariso practices at 1450 Busch Pkwy Ste 103, Buffalo Grove, IL 60089. The listed phone number is (847) 696-1100.

What is Kelly Ann Pariso's specialty?

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

Is Kelly Ann Pariso enrolled in Medicare?

Yes. Kelly Ann Pariso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Ann Pariso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ann Pariso reassigns Medicare benefits to Georgemiller, Whyte & Associates, PC (Mount Prospect, 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 Kelly Ann Pariso'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 Kelly Ann Pariso was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.