Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleidoscope Center Corp

Organization Clinical Psychologist · NPI 1669240867

Kaleidoscope Center Corp is a Clinical Psychologist in O Fallon, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Pierce Blvd Ste 300
O Fallon, IL 62269-2583
Phone: (618) 221-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1669240867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Minelli — Owner/Clinical Psychologist · (618) 221-9677
Other names Kaleidoscope Center For Autism And Neurodevelopment
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 17, 2023
Mailing address7020 Fairbanks St, O Fallon, IL 62269-7076

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