DR. KEELY HIRSCH PSYD
NPI 1063982775
Psychologist in Hershey, PA

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
500 UNIVERSITY DRIVE, MC CA410, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2022, Jan 18, 2022, Nov 26, 2018 (3 updates tracked since 2018).

About Dr. Keely Hirsch Psyd NPPES

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

DR. KEELY HIRSCH PSYD (NPI 1063982775) is an individual psychologist in Hershey, Pennsylvania, licensed in Pennsylvania (PS019545) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063982775
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEELY HIRSCHCredential: PSYD
Location Address500 UNIVERSITY DRIVE, MC CA410Hershey, PA 17033-2360
Mailing Address500 University Drive, Mc Ca410Hershey, PA 17033-2360 · (800) 243-1455
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 26, 2018
Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1063982775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in PA · PS019545✔ Licensed in CA · PSY30417
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.
500 UNIVERSITY DRIVE, Hershey, PA 17033

Secondary Practice Locations 3

Location 122 Northeast DriveHershey, PA 17033-2732 · Phone (800) 243-1455 · Fax (717) 531-6250
Location 219000 Homestead Rd Fl 2Cupertino, CA 95014-0712 · Phone (408) 851-1000
Location 36400 Gallop RdHarrisburg, PA 17111-6878 · Phone (717) 856-3123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keely Hirsch Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537571336
PECOS Enrollment IDI20220705001794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Keely Hirsch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
500 UNIVERSITY DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Surgery (Vascular Surgery)
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Pediatrics (Pediatric Hematology-Oncology)
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Psychiatry & Neurology (Psychiatry)
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Physician Assistant
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Emergency Medicine
500 UNIVERSITY DRIVE, MAIL CODE H043
HERSHEY, PA 17033
Physician Assistant
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Internal Medicine (Cardiovascular Disease)
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Anesthesiology
500 UNIVERSITY DRIVE, MC A410
HERSHEY, PA 17033

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 Keely Hirsch's NPI number?

The NPI number for Keely Hirsch is 1063982775. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Keely Hirsch located?

Keely Hirsch practices at 500 University Drive Mc Ca410, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Keely Hirsch's specialty?

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

Is Keely Hirsch enrolled in Medicare?

Yes. Keely Hirsch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keely Hirsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Hirsch reassigns Medicare benefits to 2 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keely Hirsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keely Hirsch was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.