DR. KELLY HAMOUDAH


Address: 945 W George St Ste 210, Chicago, IL 60657-5876
Phone: 8479669343

DR. KELLY HAMOUDAH (NPI# 1558974873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558974873
Entity Type Individual
Full Name DR. KELLY HAMOUDAH
Other Name KELLY ANDRESEN
Credential PSY.D.
Practice Address 945 W George St Ste 210
Chicago
IL 60657-5876
Mailing Address 945 W George St
Chicago
IL 60657-5893
Practice Telephone 8479669343
Enumeration Date 2020-08-26
Last Update Date 2020-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
POSTDOC IL Behavioral Health & Social Service Providers
N 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers
N 103TH0004X Psychologist
Specialization: Health
Behavioral Health & Social Service Providers

Office Location

Street Address 945 W GEORGE ST STE 210
City CHICAGO
State IL
Zip Code 60657-5876

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821699166 Jennifer Knuepfer, Psyd, Pllc Psychologist 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 2020-11-03
1104426170 Grace Giedgowd Psychologist 1640 W Division St Apt 205, Chicago, IL 60622-3939 2020-10-29
1184223364 Caroline Elisabeth Fulton Psychologist 1739 N Elston Ave, Chicago, IL 60642-1544 2020-10-20
1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
1285231936 Qianhui Zhang Psychologist 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 2020-10-06
1316544158 Nancy Marie Picard Psychologist 4885 N Hermitage Ave, Chicago, IL 60640-4104 2020-10-05
1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
1497365910 Sara Sirota Psychologist 5443 N Broadway St # 2s, Chicago, IL 60640-1703 2020-08-10
1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
1699392688 Hongying Chen Psychologist 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 2020-06-25
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Competitor

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City CHICAGO
Zip Code 60657

Improve Information

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Dataset Information

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.

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