Theresa Ann Kelly, PSY.D.
NPI 1477663763ActiveIndividual· Psychologist, Clinical· Marion, IL
Listed on the HHS-OIG exclusion list since January 2025 (1128a1). Psychologist, Clinical (PSY.D.) in Marion, Illinois, licensed in IL, with an NPI issued in August 2006.
Overview
| NPI | 1477663763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071-006782 | IL |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Theresa Ann Kelly · Employee - Grade Unk | 1128a1 | Jan 20, 2025 | Fort Worth, TX |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical psychologists in Marion
- 1003919408
- 1528380706
- 1174702328
- 1043224462
- 1548284748
- 1134495583