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KELLY BEHRENDS, PSYD, PC
NPI 1962632463
Psychologist - Clinical in Libertyville, IL

Active since July 17, 2009
1248 AMERICAN WAY, LIBERTYVILLE, IL 60048(224) 433-6744(224) 433-6998 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Behrends, Psyd, Pc NPPES

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

KELLY BEHRENDS, PSYD, PC (NPI 1962632463) is a healthcare organization registered as a clinical in Libertyville, Illinois and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Grayslake and lists Kelly Jennette Behrends, President, as its authorized official.

NPPES Registry Identity

NPI1962632463
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKELLY BEHRENDS, PSYD, PC
Location Address1248 AMERICAN WAYLibertyville, IL 60048-3936
Mailing Address1248 American Way, Suite BLibertyville, IL 60048-3936 · (224) 433-6744 · Fax (224) 433-6998
Phone(224) 433-6744
Fax(224) 433-6998
Organization SubpartNo
Authorized OfficialKelly Jennette BehrendsPresident · (847) 754-5570
Enumeration DateJuly 17, 2009
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1962632463 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 · 071.007337
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.
1248 AMERICAN WAY, Libertyville, IL 60048
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Secondary Practice Location 1

Location 1970 Harris Rd Unit 1CGrayslake, IL 60030-3571 · Phone (224) 433-6744 ext. 0 · Fax (224) 433-6998

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Behrends, Psyd, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kelly Behrends, Psyd, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kaitlin Lavris, MSW, LCSW
Clinical Social Worker
NPI 1538534540
1248 AMERICAN WAY
Libertyville, IL 60048
(224) 433-6744
✔ PECOS✔ Accepts MedicareSame address
Kelly Behrends, PSYD
Clinical Psychologist
NPI 1598809113
1248 AMERICAN WAY SUITE B
Libertyville, IL 60048
(847) 754-5570
✔ PECOS✔ Accepts MedicareSame address
Daniella Wiegand, PSY.D.
Clinical Psychologist
NPI 1033295902
977 LAKEVIEW PKWY SUITE 180
Vernon Hills, IL 60061
(847) 549-6650
✔ PECOS✔ Accepts Medicare4.5 mi
Mark Zissman, PSYD
Clinical Psychologist
NPI 1033607031
222 S GREENLEAF ST STE 106
Gurnee, IL 60031
(847) 356-8205
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Behrends, Psyd, PC's NPI number?

The NPI number for Kelly Behrends, Psyd, PC is 1962632463. It was assigned to this organization in the NPPES registry on July 17, 2009.

Where is Kelly Behrends, Psyd, PC located?

Kelly Behrends, Psyd, PC is located at 1248 American Way, Libertyville, IL 60048. The listed phone number is (224) 433-6744.

What is Kelly Behrends, Psyd, PC's specialty?

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

Is Kelly Behrends, Psyd, PC enrolled in Medicare?

Yes. Kelly Behrends, Psyd, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Behrends, Psyd, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Kelly Behrends, Psyd, PC. A 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 the clinician's services. The largest specialties are Clinical Psychologist (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Behrends, Psyd, PC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.