DR. MARY KELSO PH.D.
NPI 1154312189
Psychologist - Clinical in Thousand Oaks, CA

Q: What is Mary Kelso's NPI number?

The NPI number for Mary Kelso is 1154312189. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is Mary 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 Mary Kelso was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 31, 2005

325 E HILLCREST DR STE 115, THOUSAND OAKS, CA 91360(805) 379-9600(805) 495-6970 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Kelso Ph.d. NPPES

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

DR. MARY KELSO PH.D. (NPI 1154312189) is an individual clinical provider in Thousand Oaks, California, licensed in California (PSY10466) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1154312189

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY KELSOCredential: PH.D.

Location Address325 E HILLCREST DR STE 115Thousand Oaks, CA 91360-7782

Mailing AddressPo Box 7251Westlake Village, CA 91359-7251 · (805) 379-9600 · Fax (805) 495-6970

Phone(805) 379-9600

Fax(805) 495-6970

Sole ProprietorYes

Enumeration DateOctober 31, 2005

Last NPPES UpdateFebruary 26, 2019

✔ NPI 1154312189 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 CA · PSY10466

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.

325 E HILLCREST DR STE 115, Thousand Oaks, CA 91360

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Other Providers at the Same Location NPPES 11

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

SARAH SCHEERGER LCSW

Social Worker (Clinical)