KELLY MARQUIE (NPI# 1346663713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346663713 |
| Entity Type | Individual |
| Full Name | KELLY MARQUIE |
| Credential | PSYD |
| Practice Address |
2100 Manchester Rd Suite 1510 Wheaton IL 60187-4579 |
| Practice Telephone | 6306531717 |
| Practice Fax Number | 6306539691 |
| Mailing Telephone | 6306531717 |
| Mailing Fax Number | 6306539691 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.008749 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2100 MANCHESTER RD SUITE 1510 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181902 | Pamela Diane Trice | Counselor | 2100 Manchester Rd, Suite 900, Wheaton, IL 60187-4579 | 2006-04-05 |
| 1760097604 | Ashley Renae Lisek | Registered Nurse | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2020-09-08 |
| 1255967501 | Jing Wang | Psychologist | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2020-03-18 |
| 1386119618 | Kristy Gargano | Social Worker | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2018-10-13 |
| 1558801779 | Megan Olson | Counselor | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2017-03-07 |
| 1669838769 | M Kathleen Hayden | Psychologist | 2100 Manchester Rd, Ste. # 1510, Wheaton, IL 60187-4579 | 2016-01-06 |
| 1689047730 | Keith Aaron Kutnar | Counselor | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2015-11-10 |
| 1902229370 | Jane Jung | Psychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
| 1629491097 | Kymberly Larson | Clinical Neuropsychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
| 1679913883 | Kee Counseling LLC | Counselor | 2100 Manchester Rd, Suite 400-b, Wheaton, IL 60187-4579 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865904 | First Steps Psychology Associates | Psychologist | 1513 E Lowden Ave, Wheaton, IL 60189-6733 | 2020-06-10 |
| 1699109587 | Providence Center for Psychological Services | Psychologist | 100 W Roosevelt Rd # B-203, Wheaton, IL 60187-5260 | 2013-08-27 |
| 1598067886 | Jennifer Lea Kiebles | Psychologist | 1572 S Prospect St, Wheaton, IL 60189-7750 | 2010-11-19 |
| 1558579169 | Marla W. Friedman P.C. | Psychologist | 301 W Roosevelt Rd Ste B2, Wheaton, IL 60187 | 2007-05-18 |
| 1659587889 | Margaret Rohde Bongiorno | Psychologist | 417 W Roosevelt Rd, Suite 10a, Wheaton, IL 60187-2320 | 2007-05-15 |
| 1285859751 | Bethel Center for Psychotherapy | Psychologist | 213 W Wesley St, Suite 204, Wheaton, IL 60187-5135 | 2007-04-17 |
| 1275758500 | Betty Anne Riley | Psychologist | 213 W Wesley St Ste 204, Wheaton, IL 60187-5102 | 2007-04-13 |
| 1902928617 | Bonnie Jeanne Benzies | Psychologist | 213 W Wesley, Wheaton, IL 60187 | 2007-04-04 |
| 1255474524 | Patricia Juanita Eggleston | Psychologist | 206 S Summit St, Wheaton, IL 60187-5910 | 2007-02-15 |
| 1679610323 | Anne Krick | Psychologist | 200 N Blanchard St, Wheaton, IL 60187-5810 | 2007-01-31 |
| Find all providers in WHEATON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.