IndividualActive
Theresa Kelly, PSY.D.
NPI 1477663763 · Clinical Psychologist · Marion, IL
Theresa Kelly, PSY.D. is a Clinical Psychologist provider in Marion, IL (NPI 1477663763).
Provider details
- NPI number
- 1477663763
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 071-006782 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2401 W Main St
Marion, IL 62959-1188
Phone: (618) 997-5311
Street-level locationGet directions
Mailing address
100 North 43rd Street
Herrin, IL 62948
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theresa Kelly's NPI number?
- Theresa Kelly's National Provider Identifier (NPI) is 1477663763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Kelly's specialty?
- Theresa Kelly is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Theresa Kelly located?
- Theresa Kelly's practice location on file with NPPES is 2401 W Main St, Marion, IL 62959-1188.
- What is Theresa Kelly's phone number?
- The practice phone number listed in the NPPES registry for Theresa Kelly is (618) 997-5311.
- Is Theresa Kelly's NPI active?
- Yes — Theresa Kelly's NPI (1477663763) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.