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

Kellie Menter, PHD, LCP, NCSP

Individual provider Clinical Neuropsychologist · NPI 1639054448

Kellie Menter, PHD, LCP, NCSP is a Clinical Psychologist in Romeoville, Illinois. Qualified in 2024, 2 years ago. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1239 Windham Pkwy
Romeoville, IL 60446-1608
Phone: (815) 942-6323
Fax: (815) 941-0308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071-022304 (IL)

Record details

NPI number1639054448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCP , NCSP
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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