DR. KEVIN J. KELLEY PH.D.
NPI 1093847584
Psychologist - Adult Development & Aging in Allentown, PA

Active since March 10, 2007PECOS EnrolledAccepts Medicare Assignment
530 UNION BLVD, ALLENTOWN, PA 18109(610) 435-1541(610) 435-4367 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin J. Kelley Ph.d. NPPES

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

DR. KEVIN J. KELLEY PH.D. (NPI 1093847584) is an individual adult development & aging provider in Allentown, Pennsylvania, licensed in Pennsylvania (PS005818L) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093847584
Entity TypeIndividualMale
Primary Taxonomy103TA0700X
Provider Legal NameDR. KEVIN J. KELLEYCredential: PH.D.
Location Address530 UNION BLVDAllentown, PA 18109-3230
Mailing Address530 Union BlvdAllentown, PA 18109-3230 · (610) 435-1541 · Fax (610) 435-4367
Fax(610) 435-4367
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 10, 2007
Last NPPES UpdateNovember 3, 2014
NPI 1093847584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
License Licensed in PA · PS005818L
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PS005818L (PA)
530 UNION BLVD, Allentown, PA 18109

Other Identifiers 1

Other763740PA · Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin J. Kelley Ph.d. 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 ID3678642899
PECOS Enrollment IDI20080514000441
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.

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
530 UNION BLVD
ALLENTOWN, PA 18109
Counselor (Mental Health)
530 UNION BLVD
ALLENTOWN, PA 18109
Counselor (Mental Health)
530 UNION BLVD
ALLENTOWN, PA 18109
Voluntary or Charitable
530 UNION BLVD
ALLENTOWN, PA 18109
Marriage & Family Therapist
530 UNION BLVD, CATHOLIC CHARITIES
ALLENTOWN, PA 18109

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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1093847584. It was assigned to this individual provider in the NPPES registry on March 10, 2007.

Where is Kevin Kelley located?

Kevin Kelley practices at 530 Union Blvd, Allentown, PA 18109. The listed phone number is (610) 435-1541.

What is Kevin Kelley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Kevin Kelley enrolled in Medicare?

Yes. Kevin Kelley 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.

When was this NPI record last updated?

The NPPES record for Kevin Kelley was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.