DR. JAMES KELLEY WYATT (PH.D.) – Clinical Psychologist, NPI 1659421212

DR. JAMES KELLEY WYATT (PH.D.) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071005918 (IL). The NPI Number for DR. JAMES KELLEY WYATT (PH.D.) is 1659421212

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES KELLEY WYATT (PH.D.)
NPI
1659421212
Phone
(312) 942-5440
Address
1653 W CONGRESS PKWY
Enumeration Date
12 January 2007
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
3125632875
Graduation Year
1995 (31 years ago)
PAC ID
5193892834
Group Practice PAC ID
5496658874
Professional Enrollment ID
I20080923000402
Address ID
IL606125500CH1700XSTXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. JAMES KELLEY WYATT (PH.D.)

  • Rush University Medical Center, 1653, West Congress Parkway, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    SLEEP DISORDERS CENTER, RUSH UNIVERSITY MEDICAL CENTER

    CHICAGO, IL 606123833

    Phone: (312) 942-5440

    Fax: (312) 942-8961

    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: 2008-09-23

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
I20080923000402IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7359$0
90834Psychotherapy, 45 minutes2724$0
90832Psychotherapy, 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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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: 5496658874View full group profile
NameSpecialtyState
General SurgeryIL
Internal MedicineIL
Diagnostic RadiologyWI
Internal MedicineMI
Hematology/Oncology, Hospice/Palliative CareIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerIL
Nurse PractitionerIL
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

What is the standard ID for DR. JAMES KELLEY WYATT (PH.D.) in the U.S.?
In the U.S., DR. JAMES KELLEY WYATT (PH.D.) is identified by NPI 1659421212.
Is DR. JAMES KELLEY WYATT (PH.D.)'s NPI status active today?
Active status means DR. JAMES KELLEY WYATT (PH.D.)'s NPI record is not deactivated in the public file.
What services align with DR. JAMES KELLEY WYATT (PH.D.)'s listing?
DR. JAMES KELLEY WYATT (PH.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JAMES KELLEY WYATT (PH.D.)?
The directory associates DR. JAMES KELLEY WYATT (PH.D.) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DR. JAMES KELLEY WYATT (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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