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KELLY WORKMAN BCBA, PSYD
NPI 1164795316
Psychologist - Cognitive & Behavioral in New York, NY

Active since February 20, 2012Opted out of Medicare · through Mar 11, 2028
51 W 51ST ST, NEW YORK, NY 10019(212) 326-8441 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2019, Jan 21, 2019 (2 updates tracked since 2019).

About Kelly Workman Bcba, Psyd NPPES

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

KELLY WORKMAN BCBA, PSYD (NPI 1164795316) is an individual cognitive & behavioral provider in New York, New York, licensed in New York (023180) and active in the NPI registry since February 2012. She has opted out of Medicare through March 11, 2028 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164795316
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameKELLY WORKMANCredential: BCBA, PSYD
Location Address51 W 51ST STNew York, NY 10019
Mailing Address51 W 51st StNew York, NY 10019-6113 · (212) 326-8441
Phone(212) 326-8441
Sole ProprietorYes
Enumeration DateFebruary 20, 2012
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
✔ NPI 1164795316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Licenses✔ Licensed in NY · 023180✔ Licensed in CT · 3814
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-10-7776
51 W 51ST ST, New York, NY 10019
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1147 E Olive AveMonrovia, CA 91016-3407 · Phone (866) 727-8274
Location 2129 Church St Ste 807New Haven, CT 06510-2005 · Phone (626) 485-5463
Location 351 W 51st StNew York, NY 10019 · Phone (212) 326-8441

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Workman Bcba, Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2024 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2024
Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

PETER BERGMAN LMSW
Social Worker
51 W 51ST ST, SUITE 340
NEW YORK, NY 10019
New York County (212) 326-8441
DR. ELENI PILITSI MD
Dermatology
51 W 51ST ST
NEW YORK, NY 10019
New York County (212) 305-5293
MS. RACHEL LINEA ELSTROTT LCSWW
Social Worker (Clinical)
51 W 51ST ST
NEW YORK, NY 10019
New York County (212) 326-8441
CHANTEL STRACHAN MD
Internal Medicine
51 W 51ST ST
NEW YORK, NY 10019
New York County (212) 326-8830
DR. ROGER A MAXFIELD MD
Internal Medicine (Pulmonary Disease)
51 W 51ST ST, SUITE 360
NEW YORK, NY 10019
New York County (212) 326-8415
DR. DENISE ELAINE CHOU M.D.
Psychiatry & Neurology (Neurology)
51 W 51ST ST, SUITE 380
NEW YORK, NY 10019
New York County (212) 326-8455
MS. KATHLEEN MAIGNAN N.P.
Nurse Practitioner (Adult Health)
51 W 51ST ST, SUITE 200
NEW YORK, NY 10019
New York County (212) 326-5720
DONALD S COLBOURN MD
Internal Medicine (Hematology & Oncology)
51 W 51ST ST, SUITE 200
NEW YORK, NY 10019
New York County (212) 326-5723

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 Workman's NPI number?

The NPI number for Kelly Workman is 1164795316. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Kelly Workman located?

Kelly Workman practices at 51 W 51st St, New York, NY 10019. The listed phone number is (212) 326-8441.

What is Kelly Workman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Kelly Workman enrolled in Medicare?

No. Kelly Workman has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Workman was last updated on August 5, 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.