Active NPIIndividual provider

Dr. Bryan R Kelly, PHD

Psychologist, Clinical in East Sandwich, Massachusetts

NPI Number1174596357
Practice location
3 Gray Birch RD, East Sandwich, MA 02537-1457
Fax
—
Last updated
July 13, 2026

Bryan Robert Kelly is a Psychologist, Clinical based in East Sandwich, MA. Bryan Robert Kelly practices in East Sandwich, MA and has the professional credentials of PHD. The NPI Number for Bryan Robert Kelly is 1174596357 and holds a License No. 3610 (MA). The current practice location address for Bryan Robert Kelly is 3 Gray Birch RD, East Sandwich, MA 02537-1457 and can be reached out via phone at 508-833-9013.

Provider Profile Details

NPI Number
1174596357
Provider Name
Bryan Robert Kelly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3 Gray Birch RD, East Sandwich, MA 02537-1457
Phone Number
508-833-9013
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Gray Birch RD
East Sandwich, MA 02537-1457
Zip
02537-1457
Phone Number
508-833-9013
East Sandwich, MA 02537Get directions →

Provider Business Mailing Address Details

Address
3 Gray Birch RD
East Sandwich, MA 02537-1457
City
East Sandwich
State
MA
Zip
02537-1457
Phone Number
508-833-9013

License Information

License Number (1)
3610
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
710
License State (2)
NH
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bryan R Kelly, PHD?

The NPI number of Dr. Bryan R Kelly, PHD is 1174596357. It was assigned on February 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bryan R Kelly, PHD?

Dr. Bryan R Kelly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3610.

Where does Dr. Bryan R Kelly, PHD practice?

The practice location is 3 Gray Birch RD, East Sandwich, MA 02537-1457. The office can be reached at 508-833-9013 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174596357 directly on the NPPES registry website.

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