Kelly Bushur, CP PH.D
NPI 1629248406 · Clinical Psychologist · Carbondale, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bushur, CP PH.D is a Clinical Psychologist provider in Carbondale, IL (NPI 1629248406).
Provider details
- NPI number
- 1629248406
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- CP PH.D
- Sex
- Female
- Sole proprietor
- No
- License
- 071005772 (IL)
Specialties & taxonomies
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
18 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
Mailing address
Registry dates
- Enumerated
- 2008-03-07
- Last updated
- 2014-10-23
Frequently asked questions
- What is Kelly Bushur's NPI number?
- Kelly Bushur's National Provider Identifier (NPI) is 1629248406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bushur's specialty?
- Kelly Bushur is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Bushur located?
- Kelly Bushur's practice location on file with NPPES is 400 S Lewis Ln, Carbondale, IL 62901-3547.
- What is Kelly Bushur's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bushur is (618) 519-9900.
- Does Kelly Bushur accept Medicare?
- Kelly Bushur is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bushur's NPI active?
- Yes — Kelly Bushur's NPI (1629248406) is active in the NPPES registry as of the last update on 2014-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.