RUTH KELLY (NPI# 1568989812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568989812 |
| Entity Type | Individual |
| Full Name | RUTH KELLY |
| Credential | PHD |
| Practice Address |
2461 N State Highway 96 Nauvoo IL 62354-2200 |
| Mailing Address |
1 University Circle Psychology Department, Western Illinois University Macomb IL 61455 |
| Practice Telephone | 2174532232 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
593112 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992999296 | Ruth Lynne Kelly | Social Worker | I40 W Exit 131 Highway 56 N, Acl Teen Centers To'hajiilee Community School, To'hajiilee, NM 87026 | 2007-08-29 |
| Street Address |
2461 N STATE HIGHWAY 96 |
| City | NAUVOO |
| State | IL |
| Zip Code | 62354-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291815 | Mary Ann Siegworth | Speech-Language Pathologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-08-18 |
| 1164035846 | Deanne A Brooks | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2020-08-24 |
| 1710492731 | Julie Herbstrith | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821272618 | Nauvoo Fire Protection District | Ambulance | 2015 Mulholland St, Nauvoo, IL 62354 | 2007-12-28 |
| 1295737237 | Gregory A Miller | Obstetrics & Gynecology | 975 Young St, Nauvoo, IL 62354 | 2005-08-10 |
| 1740208784 | Luann Haas | Pharmacist | 1350 Mulholland, Nauvoo, IL 62354-0248 | 2006-07-18 |
| 1598968786 | Nauvoo Colusa Cus Dist 325 | Local Education Agency (LEA) | 2461 N County Rd 1000, Nauvoo, IL 62354-0308 | 2007-06-06 |
| 1851645113 | David E. Morgan | Chiropractor | 1390 Mulholland St, Nauvoo, IL 62354-1010 | 2012-11-07 |
| 1205078847 | Nauvoo Pharmacy | Durable Medical Equipment & Medical Supplies | 1350 Mulholland St, Nauvoo, IL 62354-1010 | 2009-03-27 |
| 1891972451 | Memorial Hospital Association | Clinic/Center | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-01-25 |
| 1912175506 | Anthony William Wasielewski | Nurse Practitioner | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-02-15 |
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035846 | Deanne A Brooks | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2020-08-24 |
| 1710492731 | Julie Herbstrith | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RUTH KELLY.
| 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.