Kelly A Bushur is a Carbondale, Illinois based psychologist with 28 years of experience in Clinical Psychology. She completed her graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly A Bushur is 071005772 for Clinical Psychology in Illinois. Her current practice location is 400 S Lewis Ln, Carbondale. Patients can reach her at 618-519-9900 or can fax her at 618-529-1384. Kelly A Bushur is CP PH.D in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1629248406. Kelly A Bushur is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Kelly A Bushur speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly A Bushur
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
CP PH.D
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1996
Accepts Medicare Assignment:
Yes
Practice Address:
400 S Lewis Ln, Carbondale, Illinois, 62901-3547
Phone:
618-519-9900
Fax:
618-529-1384
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3577746197
Enrollment ID:
I20141001000447
NPI Number:
1629248406
NPI Enumeration Date:
07 Mar, 2008
NPI Last Update On:
23 Oct, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly A Bushur are as mentioned below.
License Number
Specialization
State
Status
071005772
Clinical Psychology
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly A Bushur is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St. Louis Behavioral Medicine Institute Inc (3173428638)
43
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly A Bushur such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
370966854006
Medicaid
Illinois
370966854015
Medicaid
Illinois
370966854002
Medicaid
Illinois
370966854024
Medicaid
Illinois
370966854005
Medicaid
Illinois
640701
Other
Illinois
MEDICARE GROUP ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly A Bushur Po Box 577, Carterville, Illinois
Zip:
62918-0577
Phone Number:
618-985-8221
Fax Number:
618-985-6860
Patients can reach Kelly A Bushur at 400 S Lewis Ln, Carbondale, Illinois or can call to book an appointment on 618-519-9900.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.