Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477960433 Individual Practitioner Female Practitioner

Dr. Kelly M Moore , PhD

Psychologist • Hines, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Moore, PhD is a registered healthcare professional specializing in Psychologist in Hines, IL. Practice services are available at 5000 S 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5000 S 5th Ave

Hines, IL 601413030

Telephone 7087740246
Associated Practice Facility / Clinic
🏢 Hines Vamc Facility NPI 1396793378

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hines, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Hines, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071008849

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003407420

Certified Athletic Trainer, RKT

Dr. Jamie Mathews , PsyD

Psychologist - Clinical

NPI 1013257153

Doctor of Psychology (Psy.D.)

Catherine Mazzuca , MSW, LCSW

Social Worker - Clinical

NPI 1013302538

Master of Social Work, Licensed Clinical Social Worker

Dr. Kathleen Colangelo , PhD

Psychologist - Clinical

NPI 1013391002

Doctor of Philosophy (Ph.D.)

Dr. Iulia Gambro , PhD

Psychologist - Clinical

NPI 1013576875

Doctor of Philosophy (Ph.D.)

Rachel Gill

Recreation Therapist

NPI 1013775980

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2014

Registered at 5000 S 5TH AVE, HINES, IL 601413030 (Tel: 7087740246)

📍
Updated Business Mailing Address July 22, 2014

Registered at 900 S CLARK ST APT 904, CHICAGO, IL 606053686 (Tel: 7196487617)

👤
Provider Name / Credentials Updated July 22, 2014

Recorded as KELLY MOORE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Psychologist (License #071008849 in IL)

🟢
Initial NPI Registration & Enumeration July 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477960433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2014
Last Update: July 22, 2014
Sole Proprietor: Yes

Mailing Address

900 S Clark St Apt 904

Chicago, IL 606053686

Phone: 7196487617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.