DR. SCOTT A KELLY ED.D.
NPI 1184892051
Psychologist in Kalamazoo, MI

Active since February 13, 2008PECOS EnrolledAccepts Medicare Assignment
3125 W MAIN ST, KALAMAZOO, MI 49006(269) 488-5905(269) 488-5906 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Scott A Kelly Ed.d. NPPES

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

DR. SCOTT A KELLY ED.D. (NPI 1184892051) is an individual psychologist in Kalamazoo, Michigan, licensed in Michigan (6301006856) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1184892051
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SCOTT A KELLYCredential: ED.D.
Location Address3125 W MAIN STKalamazoo, MI 49006-2997
Mailing Address3125 W Main StKalamazoo, MI 49006-2997 · (269) 488-5905 · Fax (269) 488-5906
Fax(269) 488-5906
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 13, 2008
NPI 1184892051 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 MI · 6301006856
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.
3125 W MAIN ST, Kalamazoo, MI 49006

Other Identifiers 1

Medicare PIN0N29600MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott A Kelly Ed.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587563820
PECOS Enrollment IDI20040106000162
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
435 services29 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
146 services18 patients

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.

Social Worker (Clinical)
3125 W MAIN ST
KALAMAZOO, MI 49006
Social Worker (Clinical)
3125 W MAIN ST
KALAMAZOO, MI 49006
Psychologist (Counseling)
3125 W MAIN ST
KALAMAZOO, MI 49006
Social Worker (Clinical)
3125 W MAIN ST
KALAMAZOO, MI 49006
Psychologist
3125 W MAIN ST
KALAMAZOO, MI 49006
Family Medicine
3125 W MAIN ST
KALAMAZOO, MI 49006
Social Worker (Clinical)
3125 W MAIN ST
KALAMAZOO, MI 49006
Social Worker (Clinical)
3125 W MAIN ST
KALAMAZOO, MI 49006

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 Scott Kelly's NPI number?

The NPI number for Scott Kelly is 1184892051. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Where is Scott Kelly located?

Scott Kelly practices at 3125 W Main St, Kalamazoo, MI 49006. The listed phone number is (269) 488-5905.

What is Scott Kelly's specialty?

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

Is Scott Kelly enrolled in Medicare?

Yes. Scott Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Scott Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Kelly was last updated on February 13, 2008. 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.