LAURA KELLISON, PSY,.D.
NPI 1154628634
Psychologist - Clinical in Petaluma, CA

Active since February 18, 2011
115 LIBERTY ST, SUITE 4, PETALUMA, CA 94952(707) 364-9388 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Kellison, Psy,.d. NPPES

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

LAURA KELLISON, PSY,.D. (NPI 1154628634) is a healthcare organization registered as a clinical in Petaluma, California and active in the NPI registry since February 2011. The organization lists Laura Kellison, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154628634
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAURA KELLISON, PSY,.D.
Location Address115 LIBERTY ST, SUITE 4Petaluma, CA 94952-2326
Mailing Address115 Liberty St, Suite 4Petaluma, CA 94952-2326 · (707) 364-9388
Organization SubpartNo
Authorized OfficialLaura KellisonClinical Psychologist · (707) 364-9388
Enumeration DateFebruary 18, 2011
NPI 1154628634 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 · 19863
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.
115 LIBERTY ST, Petaluma, CA 94952

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

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
115 LIBERTY ST
PETALUMA, CA 94952
Psychologist (Clinical)
115 LIBERTY ST, SUITE #10
PETALUMA, CA 94952
Marriage & Family Therapist
115 LIBERTY ST, STE 8
PETALUMA, CA 94952
Psychologist (Clinical)
115 LIBERTY ST, STE 10
PETALUMA, CA 94952

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 Laura Kellison, Psy,.D.'s NPI number?

The NPI number for Laura Kellison, Psy,.D. is 1154628634. It was assigned to this organization in the NPPES registry on February 18, 2011.

Where is Laura Kellison, Psy,.D. located?

Laura Kellison, Psy,.D. is located at 115 Liberty St Suite 4, Petaluma, CA 94952. The listed phone number is (707) 364-9388.

What is Laura Kellison, Psy,.D.'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 Laura Kellison, Psy,.D. was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.