SHARON KELLY PH.D.
NPI 1215062658
Counselor - Mental Health in Seal Beach, CA

Active since February 23, 2007Accepts Medicare Assignment
3020 OLD RANCH PKWY, STE 300, SEAL BEACH, CA 90740(562) 430-5144 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sharon Kelly Ph.d. NPPES

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

SHARON KELLY PH.D. (NPI 1215062658) is an individual mental health provider in Seal Beach, California, licensed in California (PSY9811) and active in the NPI registry since February 2007. She is a graduate of Other (1982).

NPPES Registry Identity

NPI1215062658
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHARON KELLYCredential: PH.D.
Location Address3020 OLD RANCH PKWY, STE 300Seal Beach, CA 90740-2751
Mailing Address3020 Old Ranch Pkwy, Ste 300Seal Beach, CA 90740-2751 · (562) 430-5144
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 23, 2007
Last NPPES UpdateSeptember 9, 2016
NPI 1215062658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · PSY9811
3020 OLD RANCH PKWY, Seal Beach, CA 90740

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

Sharon Kelly Ph.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 ID4981872884
PECOS Enrollment IDI20110720000440

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
3020 OLD RANCH PKWY
SEAL BEACH, CA 90740
Psychologist
3020 OLD RANCH PKWY, SUITE 300
SEAL BEACH, CA 90740
Home Health
3020 OLD RANCH PKWY, SUITE 300
SEAL BEACH, CA 90740
Clinical Medical Laboratory
3020 OLD RANCH PKWY, SUITE 300
SEAL BEACH, CA 90740
Marriage & Family Therapist
3020 OLD RANCH PKWY
SEAL BEACH, CA 90740
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3020 OLD RANCH PKWY, SUITE 325
SEAL BEACH, CA 90740
Clinical Medical Laboratory
3020 OLD RANCH PKWY, SUITE 300
SEAL BEACH, CA 90740
Psychologist (Clinical)
3020 OLD RANCH PKWY, SUITE 300
SEAL BEACH, CA 90740

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 Sharon Kelly's NPI number?

The NPI number for Sharon Kelly is 1215062658. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Sharon Kelly located?

Sharon Kelly practices at 3020 Old Ranch Pkwy Ste 300, Seal Beach, CA 90740. The listed phone number is (562) 430-5144.

What is Sharon Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sharon Kelly enrolled in Medicare?

Yes. Sharon 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.

When was this NPI record last updated?

The NPPES record for Sharon Kelly was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.