Individual
DR. KELLY VINEHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1090 MCCONNELL RD, WOODSTOCK, IL 60098-7310
(815) 245-6669
(815) 334-1640
Mailing address
PO BOX 1861, WOODSTOCK, IL 60098-1861
(815) 245-6669
(815) 334-1640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006683
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632205
BCBS
IL
01
—
11894012
CAQH
IL
01
—
2201382
COMPSYCH
IL
01
—
600016119
MAGELLAN
IL
Enumeration date
02/16/2007
Last updated
02/11/2026
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