DR. KELLY J BEHRENDS (PSYD) – Clinical Psychologist, NPI 1598809113

DR. KELLY J BEHRENDS (PSYD) is a healthcare provider. based in Libertyville, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 180003498 (IL). The NPI Number for DR. KELLY J BEHRENDS (PSYD) is 1598809113

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY J BEHRENDS (PSYD)
NPI
1598809113
Phone
(847) 754-5570
Address
1248 AMERICAN WAY
Enumeration Date
16 February 2007
Last Update Date
28 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2244336744
Graduation Year
2005 (21 years ago)
PAC ID
1456404078
Group Practice PAC ID
5991858516
Professional Enrollment ID
I20090729000888
Address ID
IL600483936LI1248XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. KELLY J BEHRENDS (PSYD)

  • 1248 AMERICAN WAY

    SUITE B

    LIBERTYVILLE, IL 600483936

    Phone: (847) 754-5570

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090729000888IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60048)

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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: 5991858516View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLY J BEHRENDS (PSYD) in the U.S.?
In the U.S., DR. KELLY J BEHRENDS (PSYD) is identified by NPI 1598809113.
Should I treat DR. KELLY J BEHRENDS (PSYD) as an active provider?
Patients and plans typically see DR. KELLY J BEHRENDS (PSYD) as active in the national extract.
What does the directory say DR. KELLY J BEHRENDS (PSYD) does?
Insurance directories may phrase it differently, but here DR. KELLY J BEHRENDS (PSYD) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KELLY J BEHRENDS (PSYD)?
DR. KELLY J BEHRENDS (PSYD) shows a connection to Libertyville, Illinois in registry-derived data.
Who maintains DR. KELLY J BEHRENDS (PSYD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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