Mollyrose Kelly, MA, LCPC | |
4711 Golf Rd Ste 1200, Skokie, IL 60076-1200 | |
(847) 563-0440 | |
Not Available |
Full Name | Mollyrose Kelly |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 4711 Golf Rd Ste 1200, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386126449 | NPI | - | NPPES |
180.012855 | Other | IL | LICENSE |
178.012734 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 180.012855 (Illinois) | Primary |
Entity Name | Collaborative Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194190520 PECOS PAC ID: 9739442369 Enrollment ID: O20200806001087 |
Mailing Address | Practice Location Address |
---|---|
Mollyrose Kelly, MA, LCPC 4711 Golf Rd Ste 1200, Skokie, IL 60076-1200 Ph: (847) 563-0440 | Mollyrose Kelly, MA, LCPC 4711 Golf Rd Ste 1200, Skokie, IL 60076-1200 Ph: (847) 563-0440 |
Ann M Losoff, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8170 Mccormick Blvd, Suite 204, Skokie, IL 60076 Phone: 847-673-0718 | |
Susan Mackey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9239 Gross Point Rd, Suite 200c, Skokie, IL 60077 Phone: 847-677-3140 | |
Meir Hauser, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 4711 Golf Rd Ste 1100, Skokie, IL 60076 Phone: 847-933-9339 | |
Eleanor Aisenberg, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10024 Skokie Boulevard, Suite 312, Skokie, IL 60077 Phone: 312-972-9994 | |
Dr. Aryeh Sova, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10024 Skokie Blvd, Suite 222, Skokie, IL 60077 Phone: 312-564-5952 | |
Dr. Antonia Jurkovic, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8707 Skokie Blvd Ste 310, Skokie, IL 60077 Phone: 847-568-1100 | |
Dr. Evelyn S Lehrfield, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Road, Suite 35, Skokie, IL 60077 Phone: 847-967-8787 Fax: 847-967-9830 |