NPPES file of Aug 9, 2026

Kelly A. Bushur, CP PH.D

Clinical Psychologist · Carbondale, IL

Kelly A. Bushur, CP PH.D is a clinical psychologist with a practice address in Carbondale, Illinois, and NPI 1629248406, issued on Mar 7, 2008. Check the license (Illinois 071005772, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629248406
Name
Kelly A. Bushur
Credential
CP PH.D
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
071005772 IL
Self-reported in NPPES; status is on the state search
Practice location
400 S Lewis LN, Carbondale, IL 62901
Phone
(618) 519-9900
Enumerated
Mar 7, 2008
Record last updated
Oct 23, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(618) 529-1384
Medicaid IDs
370966854006 IL
370966854015 IL
370966854002 IL
370966854024 IL
Medicare enrollment
Enrolled (PECOS I20141001000447); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 3,947 in Illinois → Look up another NPI →

Also registered at 400 S Lewis LN

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tiffany Allen, LCPCMental Health Counselor1326525668
  2. McKenzie BonifieldFamily Nurse Practitioner1205411204
  3. Renee Feather, MDFamily Medicine Physician1528478559
  4. Caleb Geary, PHARMDPharmacist1801713557
  5. Tasmeer Hassan, MDFamily Medicine Physician1801201538
  6. Sara Hoyle, PA-CPhysician Assistant1184095622

Verify Kelly A. Bushur in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 071005772    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. St. Louis Behavioral Medicine Institute IncChesterfield, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly A. Bushur among 3,947 clinical psychologist records in Illinois

Kelly A. Bushur, CP PH.D is one of 3,947 clinical psychologist records with a practice address in Illinois. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 43% of them.

  • NPI issued2008 · 43% of these records are older, 53% newer
  • In a Medicare fileYes · 16% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated1996 · median 2004 among the 1,081 with a school on file
  • Record last updated2014 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

22 clinical psychologist records list a practice address in Carbondale

They are 22 of the 1,088 NPPES records with a practice address in Carbondale, and 3,947 clinical psychologist records in Illinois.

All 3,947 in Illinois → Every provider in Carbondale → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. James Bordieri, PH.DCarbondale, IL 629011528478302
  2. Jacqueline Buck, PH.D.Carbondale, IL 629011033383062
  3. Warren Bush, PH.D.Carbondale, IL 629011134748635
  4. Jean Cunningham, PH.D.Carbondale, IL 629011306196761
  5. Chad DrakeCarbondale, IL 629011891169629
  6. Alec Eshelman, PH.D.Carbondale, IL 629011992210975
  7. Christian Gillespie, PHD, LCPCarbondale, IL 629011033735311
  8. Lori Hinsley, PH.DCarbondale, IL 629011770795882

Common questions

What is Kelly A. Bushur, CP PH.D's NPI number?

Kelly A. Bushur, CP PH.D's National Provider Identifier (NPI) is 1629248406, issued on Mar 7, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Kelly A. Bushur, CP PH.D located?

The NPPES record lists a practice address at 400 S Lewis LN, Carbondale, IL, 62901. Phone: (618) 519-9900. Providers update this record themselves, so call before visiting.

How can I verify Kelly A. Bushur, CP PH.D's license?

NPPES lists Illinois license number 071005772, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.