Active NPIIndividual provider

Dr. Joelle A Kelly, PHD

Psychologist, Clinical in Brewster, Massachusetts

NPI Number1598801920
Practice location
23 Bay State Court, Brewster, MA 02631-2120
Fax
508-430-5207
Last updated
July 8, 2007

Joelle Ann Kelly is a Psychologist, Clinical based in Brewster, MA. Joelle Ann Kelly practices in Brewster, MA and has the professional credentials of PHD. The NPI Number for Joelle Ann Kelly is 1598801920 and holds a License No. PSY4274 (MA). The current practice location address for Joelle Ann Kelly is 23 Bay State Court, Brewster, MA 02631-2120 and can be reached out via phone at 508-430-0589 and via fax at 508-430-5207.

Provider Profile Details

NPI Number
1598801920
Provider Name
Joelle Ann Kelly
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
23 Bay State Court, Brewster, MA 02631-2120
Phone Number
508-430-0589
Fax Number
508-430-5207
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Bay State Court
Brewster, MA 02631-2120
Zip
02631-2120
Phone Number
508-430-0589
Fax Number
508-430-5207
Brewster, MA 02631Get directions →

Provider Business Mailing Address Details

Address
23 Bay State Court
Brewster, MA 02631-2120
City
Brewster
State
MA
Zip
02631-2120
Phone Number
508-430-0589
Fax Number
508-430-5207

License Information

License Number (1)
PSY4274
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
PS0595
License State (2)
ME
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. Joelle A Kelly, PHD?

The NPI number of Dr. Joelle A Kelly, PHD is 1598801920. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Joelle A Kelly, PHD?

Dr. Joelle A Kelly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY4274.

Where does Dr. Joelle A Kelly, PHD practice?

The practice location is 23 Bay State Court, Brewster, MA 02631-2120. The office can be reached at 508-430-0589 (phone) or 508-430-5207 (fax).

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 1598801920 directly on the NPPES registry website.

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