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T. K. KELSO, PSY.D, LLC
NPI 1033369699
Psychologist - Clinical in Mountain Lakes, NJ

Active since September 19, 2008
420 BOULEVARD, SUITE 208, MOUNTAIN LAKES, NJ 07046(973) 299-2888(973) 299-2876 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About T. K. Kelso, Psy.d, Llc NPPES

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

T. K. KELSO, PSY.D, LLC (NPI 1033369699) is a healthcare organization registered as a clinical in Mountain Lakes, New Jersey and active in the NPI registry since September 2008. The organization lists Theresa K Kelso, Owner, as its authorized official.

NPPES Registry Identity

NPI1033369699
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameT. K. KELSO, PSY.D, LLC
Location Address420 BOULEVARD, SUITE 208Mountain Lakes, NJ 07046-1742
Mailing Address420 Boulevard, Suite 208Mountain Lakes, NJ 07046-1742 · (973) 299-2888 · Fax (973) 299-2876
Phone(973) 299-2888
Fax(973) 299-2876
Organization SubpartNo
Authorized OfficialTheresa K KelsoOwner · (973) 299-2888
Enumeration DateSeptember 19, 2008
Last NPPES UpdateDecember 29, 2008
✔ NPI 1033369699 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 NJ · 35S1002377
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.
420 BOULEVARD, SUITE 208, Mountain Lakes, NJ 07046
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Other Identifiers 1

Medicare UPIN136545NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 T. K. Kelso, Psy.D, LLC's NPI number?

The NPI number for T. K. Kelso, Psy.D, LLC is 1033369699. It was assigned to this organization in the NPPES registry on September 19, 2008.

Where is T. K. Kelso, Psy.D, LLC located?

T. K. Kelso, Psy.D, LLC is located at 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046. The listed phone number is (973) 299-2888.

What is T. K. Kelso, Psy.D, LLC'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 T. K. Kelso, Psy.D, LLC was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.