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

Kelly Bauman, PSYD

Individual provider Marriage & Family Therapist · NPI 1174802730

Kelly Bauman, PSYD is a Clinical Psychologist in Crystal Lake, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

457 Coventry Ln Ste 115
Crystal Lake, IL 60014-7571
Phone: (815) 245-4825
Fax: (815) 596-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 360 Station Dr Ste 100, Crystal Lake, IL 60014 — (815) 338-6600
  • 360 Station Dr Ste 100, Crystal Lake, IL 60014 — (815) 338-6600
  • 3703 Doty Rd, Woodstock, IL 60098-7517 — (800) 765-9999

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071008887 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 166.000207 (IL)

Record details

NPI number1174802730
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 12, 2011
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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