DR. THERESA ANN KELLY (PSY.D.) – Clinical Psychologist, NPI 1477663763

Excluded from federal healthcare programs (Medicare/Medicaid)

This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2025-01-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).

Clinical Psychologist

DR. THERESA ANN KELLY (PSY.D.) is a healthcare provider. based in Marion, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. 071-006782 (IL). The NPI Number for DR. THERESA ANN KELLY (PSY.D.) is 1477663763

Main info

Female

Sole Proprietor

Name

DR. THERESA ANN KELLY (PSY.D.)

NPI

1477663763

Phone

(618) 997-5311

Address

2401 W MAIN ST

Enumeration Date

30 August 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THERESA ANN KELLY (PSY.D.)

2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629591188
Phone: (618) 997-5311
Type: Location
Allen Road, Sunnyside, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 62948
Phone: (618) 364-4415
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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

Insurance plans in this area (ZIP 62959)

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Frequently asked questions

How is DR. THERESA ANN KELLY (PSY.D.) identified in CMS data?

CMS-hosted NPPES data lists DR. THERESA ANN KELLY (PSY.D.) with NPI 1477663763.

Can I rely on DR. THERESA ANN KELLY (PSY.D.) being an active provider?

As of the registry snapshot, DR. THERESA ANN KELLY (PSY.D.) is marked active.

What taxonomy line describes DR. THERESA ANN KELLY (PSY.D.)?

For research purposes, treat DR. THERESA ANN KELLY (PSY.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

Where is DR. THERESA ANN KELLY (PSY.D.) based?

DR. THERESA ANN KELLY (PSY.D.) is tied to Marion, Illinois in the data we show; additional addresses may exist on the full record.

Why does DR. THERESA ANN KELLY (PSY.D.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.