SUSAN SCHACK KELLY PHD
NPI 1023658168
Psychologist - Clinical in Philadelphia, PA

Q: What is Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1023658168. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Q: What is Susan Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 07, 2020

8609 GERMANTOWN AVE # 2F, PHILADELPHIA, PA 19118(646) 265-2484 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Schack Kelly Phd NPPES

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

SUSAN SCHACK KELLY PHD (NPI 1023658168) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016698) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1023658168

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSUSAN SCHACK KELLYCredential: PHD

Location Address8609 GERMANTOWN AVE # 2FPhiladelphia, PA 19118-2863

Mailing Address8609 Germantown Ave # 2fPhiladelphia, PA 19118-2863 · (646) 265-2484

Phone(646) 265-2484

Sole ProprietorYes

Enumeration DateJanuary 7, 2020

✔ NPI 1023658168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS016698

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8609 GERMANTOWN AVE # 2F, Philadelphia, PA 19118

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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 Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1023658168. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Susan Kelly located?

Susan Kelly practices at 8609 Germantown Ave # 2F, Philadelphia, PA 19118. The listed phone number is (646) 265-2484.

What is Susan Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.