Active NPIIndividual providerSole proprietor

Dr. Sean F Kelly, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1215081526
Practice location
20 Park Plz, Suite 452, Boston, MA 02116-4303
Fax
—
Last updated
May 27, 2016

Sean F. Kelly is a Psychologist, Clinical based in Boston, MA. Sean F. Kelly practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Sean F. Kelly is 1215081526 and holds a License No. 1698 (MA). The current practice location address for Sean F. Kelly is 20 Park Plz, Suite 452, Boston, MA 02116-4303 and can be reached out via phone at 617-792-7479.

Provider Profile Details

NPI Number
1215081526
Provider Name
Sean F. Kelly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
20 Park Plz, Suite 452, Boston, MA 02116-4303
Phone Number
617-792-7479
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2007
Last Update Date
May 27, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Park Plz
Suite 452
Boston, MA 02116-4303
City
Boston
Zip
02116-4303
Phone Number
617-792-7479
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
10 Woodland RD
Beverly, MA 01915-2747
City
Beverly
State
MA
Zip
01915-2747
Phone Number
617-792-7479

License Information

License Number
1698
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

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. Sean F Kelly, PHD?

The NPI number of Dr. Sean F Kelly, PHD is 1215081526. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Sean F Kelly, PHD?

Dr. Sean F Kelly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 1698.

Where does Dr. Sean F Kelly, PHD practice?

The practice location is 20 Park Plz, Suite 452, Boston, MA 02116-4303. The office can be reached at 617-792-7479 (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 1215081526 directly on the NPPES registry website.

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