Kelley Phan
NPI 1114433463 · Clinical Psychologist · Chicago, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelley Phan is a Clinical Psychologist provider in Chicago, IL (NPI 1114433463).
Provider details
- NPI number
- 1114433463
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 071010616 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
203 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 70 | $91 |
| Psychotherapy, 1 Hour90837 | 67 | $135 |
| Psychiatric Diagnostic Evaluation90791 | 40 | $149 |
| Psychotherapy, 30 Minutes90832 | 26 | $69 |
Typical Medicare-allowed amounts for these services range $69–$149 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1650 Moon Lake BlvdHoffman Estates, IL 60169-1010Phone: (714) 404-0383
Registry dates
- Enumerated
- 2017-12-22
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Frequently asked questions
- What is Kelley Phan's NPI number?
- Kelley Phan's National Provider Identifier (NPI) is 1114433463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Phan's specialty?
- Kelley Phan is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelley Phan located?
- Kelley Phan's practice location on file with NPPES is 259 E Erie St Ste 1600, Chicago, IL 60611-3111.
- What is Kelley Phan's phone number?
- The practice phone number listed in the NPPES registry for Kelley Phan is (312) 695-6868.
- Does Kelley Phan accept Medicare?
- Kelley Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelley Phan's NPI active?
- Yes — Kelley Phan's NPI (1114433463) is active in the NPPES registry as of the last update on 2022-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.