DR. THERESA K KELSO PSY.D
NPI 1083797682
Psychologist - Clinical in Mountain Lakes, NJ

Q: What is Theresa Kelso's NPI number?

The NPI number for Theresa Kelso is 1083797682. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Theresa Kelso'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 Theresa Kelso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 24, 2006

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

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Theresa K Kelso Psy.d NPPES

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

DR. THERESA K KELSO PSY.D (NPI 1083797682) is an individual clinical provider in Mountain Lakes, New Jersey, licensed in New Jersey (35S1002377) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083797682

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THERESA K KELSOCredential: PSY.D

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

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083797682 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, Mountain Lakes, NJ 07046

Open in Google Maps ↗

Other Identifiers 4

Other048786NJ · Valueoptions Identifier

Other223688014NJ · Federal Tax Identificatio

Medicare ID-Type UnspecifiedKE684007NJ · Medicare Provider Number

Other4514820NJ · Aetna Beh. Health

Other Providers at the Same Location NPPES 19

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

DR. JAYNE SCHACHTER WALCO PH.D.

Psychologist

420 BOULEVARD, SUITE 101
MOUNTAIN LAKES, NJ 07046

Morris County (973) 334-8383

COGENT PSYCHIATRIC SERVICES

Psychiatry & Neurology (Psychiatry)

420 BOULEVARD, SUITE 101
MOUNTAIN LAKES, NJ 07046

Morris County (973) 206-1433

SHERRY BUCHANAN HANSEL LCSW

Social Worker (Clinical)

420 BOULEVARD, SUITE 101
MOUNTAIN LAKES, NJ 07046

Morris County (973) 627-4087

JEFFREY M. BRANDLER EDS

Counselor (Addiction (Substance Use Disorder))

420 BOULEVARD, SUITE 208
MOUNTAIN LAKES, NJ 07046

Morris County (973) 402-2647

DARLENE M OSIPUK MD

Psychiatry & Neurology (Psychiatry)

420 BOULEVARD, SUITE 106
MOUNTAIN LAKES, NJ 07046

Morris County (973) 263-8282

MOUNTAIN LAKES FAMILY PRACTICE LLC

Family Medicine

420 BOULEVARD, SUITE 104
MOUNTAIN LAKES, NJ 07046

Morris County (973) 334-3773

BIOTECH INDUSTRIES

Prosthetic/Orthotic Supplier

420 BOULEVARD, SUITE 207
MOUNTAIN LAKES, NJ 07046

Morris County (973) 299-7071

DR. CHRISTOPHER GEORGE PARIGORIS PSY.D.

Psychologist (Clinical)

420 BOULEVARD, SUITE 101
MOUNTAIN LAKES, NJ 07046

Morris County (862) 812-4881

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 Theresa Kelso's NPI number?

The NPI number for Theresa Kelso is 1083797682. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Theresa Kelso located?

Theresa Kelso practices at 420 Boulevard Suite 208, Mountain Lakes, NJ 07046. The listed phone number is (973) 299-2888.

What is Theresa Kelso'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 Theresa Kelso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.