Active NPIIndividual providerSole proprietor

Dr. Kelly C Travis, PSYD

Psychologist, Clinical in Manahawkin, New Jersey

NPI Number1275946576
Practice location
703 Mill Creek RD, Suite E-1, Manahawkin, NJ 08050-3828
Fax
—
Last updated
May 6, 2026

Kelly C Travis is a Psychologist, Clinical based in Manahawkin, NJ. Kelly C Travis practices in Manahawkin, NJ and has the professional credentials of PSYD. The NPI Number for Kelly C Travis is 1275946576 and holds a License No. 35S100527600 (NJ). The current practice location address for Kelly C Travis is 703 Mill Creek RD, Suite E-1, Manahawkin, NJ 08050-3828 and can be reached out via phone at 609-549-0787.

Provider Profile Details

NPI Number
1275946576
Provider Name
Kelly C Travis
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
703 Mill Creek RD, Suite E-1, Manahawkin, NJ 08050-3828
Phone Number
609-549-0787
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
Kelly Taylor (Former Name)
Provider Enumeration Date
June 4, 2014
Last Update Date
May 6, 2026
Certification Date
May 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
703 Mill Creek RD
Suite E-1
Manahawkin, NJ 08050-3828
Zip
08050-3828
Phone Number
609-549-0787
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
44 Ruth Dr
Manahawkin, NJ 08050-5328
City
Manahawkin
State
NJ
Zip
08050-5328
Phone Number
619-549-9279

License Information

License Number
35S100527600
License State
NJ
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. Kelly C Travis, PSYD?

The NPI number of Dr. Kelly C Travis, PSYD is 1275946576. It was assigned on June 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly C Travis, PSYD?

Dr. Kelly C Travis, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100527600.

Where does Dr. Kelly C Travis, PSYD practice?

The practice location is 703 Mill Creek RD, Suite E-1, Manahawkin, NJ 08050-3828. The office can be reached at 609-549-0787 (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 1275946576 directly on the NPPES registry website.

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