DR. KELSEY JAMES WALSH PH.D.
NPI 1053048058
Psychologist in Phoenix, AZ

Active since August 01, 2022Opted out of Medicare · through Jul 9, 2028
2415 E CAMELBACK RD STE 722, PHOENIX, AZ 85016(480) 442-3062 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 14, 2024, Oct 8, 2024, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Kelsey James Walsh Ph.d. NPPES

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

DR. KELSEY JAMES WALSH PH.D. (NPI 1053048058) is an individual psychologist in Phoenix, Arizona, licensed in Arizona (PSY-004941) and active in the NPI registry since August 2022. She has opted out of Medicare through July 9, 2028.

NPPES Registry Identity

NPI1053048058
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELSEY JAMES WALSHCredential: PH.D.
Location Address2415 E CAMELBACK RD STE 722Phoenix, AZ 85016-4245
Mailing Address3219 E Camelback Rd # 298Phoenix, AZ 85018-2307
Sole ProprietorYes
Enumeration DateAugust 1, 2022
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1053048058 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 AZ · PSY-004941
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.
2415 E CAMELBACK RD STE 722, Phoenix, AZ 85016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kelsey James Walsh Ph.d. 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 July 9, 2018 through July 9, 2028.

Opt-Out Effective DateJuly 9, 2018
Opt-Out In Effect ThroughJuly 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kelsey Walsh's NPI number?

The NPI number for Kelsey Walsh is 1053048058. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Kelsey Walsh located?

Kelsey Walsh practices at 2415 E Camelback Rd Ste 722, Phoenix, AZ 85016. The listed phone number is (480) 442-3062.

What is Kelsey Walsh's specialty?

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

Is Kelsey Walsh enrolled in Medicare?

No. Kelsey Walsh has opted out of Medicare through July 9, 2028. 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 Kelsey Walsh was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.