Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly A Bushur, CP PH.D

Clinical Psychologist in Carbondale, IL · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629248406

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Registry record

Entity type Individual (Type 1)

Name Kelly A Bushur

Credential CP PH.D

Sex Female

Practice address 400 S Lewis Ln, Carbondale, IL, 62901

Phone (618) 519-9900

Fax (618) 529-1384

Enumeration date Mar 7, 2008

Last updated in NPPES Oct 23, 2014

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071005772 (IL) Primary

Other identifiers

Identifier	Type	State	Issuer
370966854006	Medicaid	IL	-
370966854015	Medicaid	IL	-
370966854002	Medicaid	IL	-
370966854024	Medicaid	IL	-
370966854005	Medicaid	IL	-
640701	Other	IL	MEDICARE GROUP ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kelly Bushur's NPI record?

Cross-check NPI 1629248406 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1629248406 active?

Yes, as of the latest NPPES snapshot, NPI 1629248406 is active (record last updated 2014-10-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-23.