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DR. THOMAS KIELY PH.D.
NPI 1194882886
Psychologist - Clinical in Mill Valley, CA

Active since January 02, 2007Opted out of Medicare · through Jan 1, 2028
100 SHORELINE HWY, BLDG B, SUITE 100, MILL VALLEY, CA 94941(415) 877-4408 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Thomas Kiely Ph.d. NPPES

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

DR. THOMAS KIELY PH.D. (NPI 1194882886) is an individual clinical provider in Mill Valley, California, licensed in California (29279) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194882886
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THOMAS KIELYCredential: PH.D.
Location Address100 SHORELINE HWY, BLDG B, SUITE 100Mill Valley, CA 94941
Mailing Address726 Hurlingham AveSan Mateo, CA 94402-1030 · (650) 455-9514
Phone(415) 877-4408
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194882886 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 · 29279
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.
100 SHORELINE HWY, Mill Valley, CA 94941
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Secondary Practice Locations 2

Location 1675 Nelson Rising Ln Ste 190San Francisco, CA 94143-0003 · Phone (415) 353-2057
Location 21860 El Camino Real, Suite 310Burlingame, CA 94010 · Phone (650) 652-4884 · Fax (650) 697-3931

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Kiely Ph.d. 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 January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. JILLIAN TESSIER PHD
Psychologist
100 SHORELINE HWY, BUILDING B, SUITE 100
MILL VALLEY, CA 94941
Marin County (415) 877-4408
GREENE MEDICAL INC
Psychiatry & Neurology (Geriatric Psychiatry)
100 SHORELINE HWY, BLDG B STE 100-1020
MILL VALLEY, CA 94941
Marin County (805) 225-4740

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 Thomas Kiely's NPI number?

The NPI number for Thomas Kiely is 1194882886. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Thomas Kiely located?

Thomas Kiely practices at 100 Shoreline Hwy Bldg B, Suite 100, Mill Valley, CA 94941. The listed phone number is (415) 877-4408.

What is Thomas Kiely's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Thomas Kiely enrolled in Medicare?

No. Thomas Kiely has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Kiely was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.