THERESA KELLAM, PH.D.
NPI 1205248150
Community/Behavioral Health in Fort Worth, TX

Q: What is Theresa Kellam, Ph.D.'s NPI number?

The NPI number for Theresa Kellam, Ph.D. is 1205248150. It was assigned to this organization in the NPPES registry on May 27, 2014.

Q: What is Theresa Kellam, Ph.D.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 27, 2014

2201 DOTTIE LYNN PKWY, SUITE 127, FORT WORTH, TX 76120(817) 313-7899 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Theresa Kellam, Ph.d. NPPES

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

THERESA KELLAM, PH.D. (NPI 1205248150) is a healthcare organization registered as a community/behavioral health in Fort Worth, Texas and active in the NPI registry since May 2014. The organization lists Theresa Kellam, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1205248150

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameTHERESA KELLAM, PH.D.

Location Address2201 DOTTIE LYNN PKWY, SUITE 127Fort Worth, TX 76120-4432

Mailing Address2201 Dottie Lynn Pkwy, Suite 127Fort Worth, TX 76120-4432 · (817) 313-7899

Phone(817) 313-7899

Organization SubpartNo

Authorized OfficialTheresa KellamOwner/psychologist · (817) 313-7899

Enumeration DateMay 27, 2014

✔ NPI 1205248150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in TX · 32518

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2201 DOTTIE LYNN PKWY, Fort Worth, TX 76120

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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 Theresa Kellam, Ph.D.'s NPI number?

The NPI number for Theresa Kellam, Ph.D. is 1205248150. It was assigned to this organization in the NPPES registry on May 27, 2014.

Where is Theresa Kellam, Ph.D. located?

Theresa Kellam, Ph.D. is located at 2201 Dottie Lynn Pkwy Suite 127, Fort Worth, TX 76120. The listed phone number is (817) 313-7899.

What is Theresa Kellam, Ph.D.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Theresa Kellam, Ph.D. was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.