DR. BRIAN J KELLY PH.D.
NPI 1235494774
Psychologist - Counseling in Auburn, NY
About Dr. Brian J Kelly Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN J KELLY PH.D. (NPI 1235494774) is an individual counseling provider in Auburn, New York, licensed in New York (020001) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brian J 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.
Medicare Billing Reassignments
6Medicare enrollment records show Brian Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10003
- Reassigned Medicare billing, New York enrollment
- 15 clinicians in this Medicare group
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 457 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
- 94 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 436 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New York enrollment
- 325 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Kelly's NPI number?
The NPI number for Brian Kelly is 1235494774. It was assigned to this individual provider in the NPPES registry on July 11, 2012.
Where is Brian Kelly located?
Brian Kelly practices at 180 North Street, Auburn, NY 13021. The listed phone number is (315) 255-2285.
What is Brian Kelly's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Brian Kelly enrolled in Medicare?
Yes. Brian 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.
Which organizations bill Medicare for Brian Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Kelly reassigns Medicare benefits to 6 organizations: Lenox Hill Pain Management And Spine PLLC (New York, NY), Che Senior Psychological Services, PC (Brooklyn, NY), Northside Psychology PLLC (Brooklyn, NY), Patient First Medical Practice PC (Brooklyn, NY), Knapp Street Psychiatry, PC (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Kelly accept?
Health plans from Harvard Pilgrim Health Care list Brian 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 Brian Kelly was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Brian J Kelly, PH.D. · NPI 1235494774
Counseling provider in Auburn, New York. Individual provider, active in the CMS NPPES registry since July 11, 2012.
## Identity
- **NPI:** 1235494774 (Entity type: Individual)
- **Enumerated:** July 11, 2012
- **Primary specialty:** Psychologist - Counseling · taxonomy 103TC1900X
- **State license:** 020001 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 NORTH STREET, Auburn, NY 13021-1811
- **Phone:** (315) 255-2285
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Lenox Hill Pain Management And Spine PLLC (NPI 1063865111, New York, NY); Che Senior Psychological Services, PC (NPI 1023078219, Brooklyn, NY); Northside Psychology PLLC (NPI 1477058998, Brooklyn, NY); Patient First Medical Practice PC (NPI 1255067955, Brooklyn, NY); Knapp Street Psychiatry, PC (NPI 1043248776, Brooklyn, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 18, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1235494774) · Data from the CMS NPPES public registry.