DR. KELLY JO KNUTSON (PSY.D.) – Clinical Psychologist, NPI 1326352881

DR. KELLY JO KNUTSON (PSY.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. 071.007927 (IL). The NPI Number for DR. KELLY JO KNUTSON (PSY.D.) is 1326352881

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY JO KNUTSON (PSY.D.)
NPI
1326352881
Phone
(309) 706-3190
Address
808 S ELDORADO RD
Enumeration Date
27 July 2010
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3097063190
Graduation Year
2007 (19 years ago)
PAC ID
2961681341
Group Practice PAC ID
9739152380
Professional Enrollment ID
I20110201000554
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. KELLY JO KNUTSON (PSY.D.)

  • 808 S ELDORADO RD

    STE 102

    BLOOMINGTON, IL 617046071

    Phone: (309) 706-3190

    Fax: (309) 588-4115

    Type: Location

  • PO BOX 604

    BLOOMINGTON, IL 617020604

    Phone: (309) 706-3190

    Fax: (309) 588-4115

    Type: Mailing

  • 14408 Woods Walk Ct

    Midlothian, VA 231122412

    Phone: (309) 313-3789

    Type: Location

  • 1770 S Randall Road

    Ste: A # 179

    Geneva, IL 601344603

    Phone: (309) 313-3789

    Type: Location

  • 1770 SOUTH RANDALL ROAD

    STE: A # 179

    GENEVA, IL 601340603

    Phone: (309) 313-3789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739152380View full group profile
NameSpecialtyState
DR. DYNESHA DIONE MASON-GRISSOM (PH.D.)
-IL
HEATHER O'BRIEN (PSYD, HSPP)
-IL
DR. BLAIR MEREDITH BROWN (PSY.D.)
-IL
AARON POPPY
-IL
DR. ANGELA M CARRILLO (PSY.D.)
-AZ
DR. LISA JEANNE BRANDYBERRY (PHD.)
-NC
SARAH CAIN (LCSW)
-IL
STEPHANIE JO ZEID (PSY.D.)
-AZ
Unknown Individual
-IL
DR. LEROY RICHARD HALL (PSY.D)
-IL

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Frequently asked questions

Does DR. KELLY JO KNUTSON (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KELLY JO KNUTSON (PSY.D.) uses 1326352881.
Is DR. KELLY JO KNUTSON (PSY.D.) still practicing?
DR. KELLY JO KNUTSON (PSY.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. KELLY JO KNUTSON (PSY.D.)?
For research purposes, treat DR. KELLY JO KNUTSON (PSY.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KELLY JO KNUTSON (PSY.D.)?
DR. KELLY JO KNUTSON (PSY.D.)'s geographic hint is Bloomington, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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