DR. THOMAS P KELLY JR. PSY.D.
NPI 1063087294
Psychologist in Syosset, NY

Active since May 20, 2021
575 UNDERHILL BLVD, SYOSSET, NY 11791(631) 404-9844 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Thomas P Kelly Jr. Psy.d. NPPES

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

DR. THOMAS P KELLY JR. PSY.D. (NPI 1063087294) is an individual psychologist in Syosset, New York, licensed in New York (P109603) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1063087294
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THOMAS P KELLY JR.Credential: PSY.D.
Location Address575 UNDERHILL BLVDSyosset, NY 11791-3426
Mailing Address5 Carl StLk Ronkonkoma, NY 11779-2311 · (631) 404-9844
Sole ProprietorYes
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
NPI 1063087294 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 NY · P109603
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.
575 UNDERHILL BLVD, Syosset, NY 11791

Other Providers at the Same Location NPPES 14

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

Pathology (Anatomic Pathology & Clinical Pathology)
575 UNDERHILL BLVD
SYOSSET, NY 11791
Pathology (Anatomic Pathology)
575 UNDERHILL BLVD
SYOSSET, NY 11791
Pathology (Anatomic Pathology & Clinical Pathology)
575 UNDERHILL BLVD
SYOSSET, NY 11791
Psychologist
575 UNDERHILL BLVD
SYOSSET, NY 11791
Psychiatry & Neurology (Neurology)
575 UNDERHILL BLVD, SUITE 128
SYOSSET, NY 11791
Physician Assistant
575 UNDERHILL BLVD
SYOSSET, NY 11791
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
575 UNDERHILL BLVD, SUITE 110
SYOSSET, NY 11791
Pathology (Anatomic Pathology & Clinical Pathology)
575 UNDERHILL BLVD
SYOSSET, NY 11791

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1063087294. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Thomas Kelly located?

Thomas Kelly practices at 575 Underhill Blvd, Syosset, NY 11791. The listed phone number is (631) 404-9844.

What is Thomas Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.