KELLY LOGAN RYAN PSYD
NPI 1962655910
Psychologist - Clinical in Naperville, IL

Q: What is Kelly Ryan's NPI number?

The NPI number for Kelly Ryan is 1962655910. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Q: What is Kelly Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Ryan was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 03, 2008

852 S WEST ST, NAPERVILLE, IL 60540(630) 305-5122 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Logan Ryan Psyd NPPES

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

KELLY LOGAN RYAN PSYD (NPI 1962655910) is an individual clinical provider in Naperville, Illinois, licensed in Illinois (071.008948) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1962655910

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY LOGAN RYANCredential: PSYD

Location Address852 S WEST STNaperville, IL 60540-6400

Mailing Address1001 Rohlwing RdElk Grove Village, IL 60007-3217 · (847) 524-8800 · Fax (847) 524-8824

Phone(630) 305-5122

Sole ProprietorNo

Enumeration DateNovember 3, 2008

Last NPPES UpdateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1962655910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.008948

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

852 S WEST ST, Naperville, IL 60540

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Other Providers at the Same Location NPPES 16

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

MARIE SAWYER

Social Worker (Clinical)