Kelly Bauman, PSY.D
NPI 1174802730 · Clinical Psychologist · Crystal Lake, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bauman, PSY.D is a Clinical Psychologist provider in Crystal Lake, IL (NPI 1174802730).
Provider details
- NPI number
- 1174802730
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 166.000207 (IL)
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 tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (3)
- 360 Station Dr Ste 100Crystal Lake, IL 60014Phone: (815) 338-6600Fax: (815) 356-2324
- 360 Station Dr Ste 100Crystal Lake, IL 60014Phone: (815) 338-6600Fax: (815) 356-2324
- 3703 Doty RdWoodstock, IL 60098-7517Phone: (800) 765-9999Fax: (815) 206-2822
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2021-05-21
- Certified
- 2021-05-21
Frequently asked questions
- What is Kelly Bauman's NPI number?
- Kelly Bauman's National Provider Identifier (NPI) is 1174802730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bauman's specialty?
- Kelly Bauman is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Bauman located?
- Kelly Bauman's practice location on file with NPPES is 457 Coventry Ln Ste 115, Crystal Lake, IL 60014-7571.
- What is Kelly Bauman's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bauman is (815) 245-4825.
- Does Kelly Bauman accept Medicare?
- Kelly Bauman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bauman's NPI active?
- Yes — Kelly Bauman's NPI (1174802730) is active in the NPPES registry as of the last update on 2021-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.