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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PATRICK KEVIN KELLY SUDCC2
NPI 1013783059
Counselor - Addiction (Substance Use Disorder) in Anaheim, CA

Active since November 30, 2023
1320 W PEARL ST, ANAHEIM, CA 92801(866) 811-3656 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Patrick Kevin Kelly Sudcc2 NPPES

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

PATRICK KEVIN KELLY SUDCC2 (NPI 1013783059) is an individual addiction (substance use disorder) provider in Anaheim, California and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1013783059
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICK KEVIN KELLYCredential: SUDCC2
Location Address1320 W PEARL STAnaheim, CA 92801-5941
Mailing Address1320 W Pearl StAnaheim, CA 92801-5941
Phone(866) 811-3656
Sole ProprietorNo
Enumeration DateNovember 30, 2023
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1013783059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1320 W PEARL ST, Anaheim, CA 92801
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Other Providers at the Same Location NPPES 20

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

EUNICE SARAI ANAYA
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
ROSARIO RUIZ
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
ALFONSO G MEDINA SR.
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
VANESSA VALENCIA
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
COURTNEY GRUTBO
Social Worker (Clinical)
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
MICHAEL GONZALEZ
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
MICHAEL TRESSLER
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
SABRINA MARIN AGUILAR I
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174

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 Patrick Kelly's NPI number?

The NPI number for Patrick Kelly is 1013783059. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Patrick Kelly located?

Patrick Kelly practices at 1320 W Pearl St, Anaheim, CA 92801. The listed phone number is (866) 811-3656.

What is Patrick Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patrick Kelly was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.