KELLY A. SCHMIDT, PH.D., LLC
NPI 1104653344
Psychologist - Clinical in Ellington, CT

Q: What is Kelly A. Schmidt, Ph.D., LLC's NPI number?

The NPI number for Kelly A. Schmidt, Ph.D., LLC is 1104653344. It was assigned to this organization in the NPPES registry on September 19, 2024.

Q: What is Kelly A. Schmidt, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 19, 2024

16 MAIN ST., ELLINGTON, CT 06029(860) 871-5402(860) 871-5413 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly A. Schmidt, Ph.d., Llc NPPES

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

KELLY A. SCHMIDT, PH.D., LLC (NPI 1104653344) is a healthcare organization registered as a clinical in Ellington, Connecticut and active in the NPI registry since September 2024. The organization lists Kelly A. Schmidt, Owner, as its authorized official.

NPPES Registry Identity

NPI1104653344

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKELLY A. SCHMIDT, PH.D., LLC

Location Address16 MAIN ST.Ellington, CT 06029-0061

Mailing Address16 Main St.Ellington, CT 06029-0061 · (860) 871-5402 · Fax (860) 871-5413

Phone(860) 871-5402

Fax(860) 871-5413

Organization SubpartNo

Authorized OfficialKelly A. SchmidtOwner · (860) 871-5402

Enumeration DateSeptember 19, 2024

✔ NPI 1104653344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

16 MAIN ST., Ellington, CT 06029

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Other Identifiers 1

Medicaid008093888CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 A. Schmidt, Ph.D., LLC's NPI number?

The NPI number for Kelly A. Schmidt, Ph.D., LLC is 1104653344. It was assigned to this organization in the NPPES registry on September 19, 2024.

Where is Kelly A. Schmidt, Ph.D., LLC located?

Kelly A. Schmidt, Ph.D., LLC is located at 16 Main St., Ellington, CT 06029. The listed phone number is (860) 871-5402.

What is Kelly A. Schmidt, Ph.D., LLC'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 Kelly A. Schmidt, Ph.D., LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.