STARR KELTON-LOCKE
NPI 1003265760
Psychologist in Kentfield, CA

Active since June 03, 2016Opted out of Medicare · through Nov 15, 2026
1030 SIR FRANCIS DRAKE BLVD, STE. 100, KENTFIELD, CA 94904(415) 453-2782(415) 457-9932 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Starr Kelton-locke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARR KELTON-LOCKE (NPI 1003265760) is an individual psychologist in Kentfield, California, licensed in California (PSY16108) and active in the NPI registry since June 2016. She has opted out of Medicare through November 15, 2026.

NPPES Registry Identity

NPI1003265760
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTARR KELTON-LOCKE
Location Address1030 SIR FRANCIS DRAKE BLVD, STE. 100Kentfield, CA 94904-1411
Mailing Address1030 Sir Francis Drake Blvd, Ste. 100Kentfield, CA 94904-1411 · (415) 453-2782 · Fax (415) 457-9932
Fax(415) 457-9932
Sole ProprietorYes
Enumeration DateJune 3, 2016
NPI 1003265760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY16108
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.
1030 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Starr Kelton-locke has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2024 through November 15, 2026.

Opt-Out Effective DateNovember 15, 2024
Opt-Out In Effect ThroughNovember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1030 SIR FRANCIS DRAKE BLVD, SUITE 120
KENTFIELD, CA 94904
Social Worker (Clinical)
1030 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Clinic/Center (Primary Care)
1030 SIR FRANCIS DRAKE BLVD, SUITE 110
KENTFIELD, CA 94904
Counselor (Mental Health)
1030 SIR FRANCIS DRAKE BLVD, SUITE 125
KENTFIELD, CA 94904
Psychologist (Clinical)
1030 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marriage & Family Therapist
1030 SIR FRANCIS DRAKE BLVD, SUITE 100, ROOM 5
KENTFIELD, CA 94904
Psychiatry & Neurology (Psychiatry)
1030 SIR FRANCIS DRAKE BLVD, SUITE 100, RM 1
KENTFIELD, CA 94904
Marriage & Family Therapist
1030 SIR FRANCIS DRAKE BLVD, SUITE 120
KENTFIELD, CA 94904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Starr Kelton-locke's NPI number?

The NPI number for Starr Kelton-locke is 1003265760. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Starr Kelton-locke located?

Starr Kelton-locke practices at 1030 Sir Francis Drake Blvd Ste. 100, Kentfield, CA 94904. The listed phone number is (415) 453-2782.

What is Starr Kelton-locke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Starr Kelton-locke enrolled in Medicare?

No. Starr Kelton-locke has opted out of Medicare through November 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Starr Kelton-locke was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.