DR. JOHN PETER KELLY PH.D.
NPI 1174718597
Psychologist in Smithtown, NY

Active since September 10, 2007
267 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787(631) 366-3166 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Peter Kelly Ph.d. NPPES

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

DR. JOHN PETER KELLY PH.D. (NPI 1174718597) is an individual psychologist in Smithtown, New York, licensed in New York (9859) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1174718597
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN PETER KELLYCredential: PH.D.
Location Address267 MIDDLE COUNTRY RDSmithtown, NY 11787-2874
Mailing Address267 Middle Country RdSmithtown, NY 11787-2874 · (631) 366-3166
Sole ProprietorYes
Enumeration DateSeptember 10, 2007
NPI 1174718597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 9859
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
267 MIDDLE COUNTRY RD, Smithtown, NY 11787

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
267 MIDDLE COUNTRY RD, BUILDING B
SMITHTOWN, NY 11787

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 John Kelly's NPI number?

The NPI number for John Kelly is 1174718597. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is John Kelly located?

John Kelly practices at 267 Middle Country Rd, Smithtown, NY 11787. The listed phone number is (631) 366-3166.

What is John Kelly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.