KELLY M. JANKE PHD
NPI 1104207190
Clinical Neuropsychologist in Philadelphia, PA

Q: What is Kelly Janke's NPI number?

The NPI number for Kelly Janke is 1104207190. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Q: What is Kelly Janke's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Janke was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 15, 2015

3501 CIVIC CENTER BLVD # 10209, PHILADELPHIA, PA 19104(267) 425-0169 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2020, Nov 15, 2018 (2 updates tracked since 2018).

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About Kelly M. Janke Phd NPPES

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

KELLY M. JANKE PHD (NPI 1104207190) is an individual clinical neuropsychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS018668) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1104207190

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKELLY M. JANKECredential: PHD

Location Address3501 CIVIC CENTER BLVD # 10209Philadelphia, PA 19104-3820

Mailing Address3501 Civic Center Blvd # 10209Philadelphia, PA 19104-3820 · (267) 425-0169

Phone(267) 425-0169

Sole ProprietorNo

Enumeration DateJune 15, 2015

Last NPPES UpdateMarch 27, 20202 updates tracked since enumeration

NPPES CertifiedMarch 27, 2020

✔ NPI 1104207190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in PA · PS018668✔ Licensed in NY · 021059

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

3501 CIVIC CENTER BLVD # 10209, Philadelphia, PA 19104

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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 Kelly Janke's NPI number?

The NPI number for Kelly Janke is 1104207190. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Kelly Janke located?

Kelly Janke practices at 3501 Civic Center Blvd # 10209, Philadelphia, PA 19104. The listed phone number is (267) 425-0169.

What is Kelly Janke's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kelly Janke was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.