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Kevin Thomas Kelly, PHD
Psychologist in Ukiah, California
NPI 1508059080

Kevin Thomas Kelly is a Psychologist based in Ukiah, CA. Kevin Thomas Kelly practices in Ukiah, CA and has the professional credentials of PHD. The NPI Number for Kevin Thomas Kelly is 1508059080 and holds a License No. PSY9275 (California).

The current practice location address for Kevin Thomas Kelly is 598 Cochrane Ave, Ukiah, CA and can be reached out via phone at 707-463-1447 and via fax at 866-204-9690.

Location: 598 Cochrane Ave, Ukiah, CA, 95482-5621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508059080
Provider Name
Kevin Thomas Kelly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
598 Cochrane Ave, Ukiah, CA, 95482-5621
Phone Number
707-463-1447
Fax Number
866-204-9690
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A00PL92750 01 CA BLUE SHIELD UIC #
7809105 01 CA BLUE CROSS PIN
PA0092759 01 CA MEDI-CAL
#00PL92750 01 CA BLUE SHIELD SUBMITTER
PSY00009275 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
598 Cochrane Ave
City
Ukiah
State
California
Zip
95482-5621
Phone Number
707-463-1447
Fax Number
866-204-9690
person
Provider Business Mailing Address Details
Address
598 Cochrane Ave
City
Ukiah
State
California
Zip
95482-5621
Phone Number
707-463-1447
Fax Number
866-204-9690
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY9275 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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