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KELLY KATHRYN HALVERSON PH.D.
NPI 1104654698
Clinical Neuropsychologist in Brockton, MA

Active since July 25, 2024
940 BELMONT ST, BROCKTON, MA 02301(763) 458-6156 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Kathryn Halverson Ph.d. NPPES

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

KELLY KATHRYN HALVERSON PH.D. (NPI 1104654698) is an individual clinical neuropsychologist in Brockton, Massachusetts, licensed in Minnesota (LP7054) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1104654698
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKELLY KATHRYN HALVERSONCredential: PH.D.
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address3803 Nw 23rd Ter Apt 101Gainesville, FL 32605-5643 · (763) 458-6156
Phone(763) 458-6156
Sole ProprietorNo
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1104654698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MN · LP7054
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.
940 BELMONT ST, Brockton, MA 02301
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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.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

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 Halverson's NPI number?

The NPI number for Kelly Halverson is 1104654698. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Kelly Halverson located?

Kelly Halverson practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (763) 458-6156.

What is Kelly Halverson'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 Halverson was last updated on July 25, 2024. 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.