TIMOTHY JOSEPH JOHNSON KELLY MD
NPI 1235504572
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1235504572. It was assigned to this individual provider in the NPPES registry on December 12, 2015. The provider is also known as Timothy Joseph Johnson.

Q: What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since December 12, 2015PECOS Enrolled

2418 E YORK ST, PHILADELPHIA, PA 19125(833) 351-8255 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, May 15, 2019, Dec 12, 2015 (3 updates tracked since 2015).

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About Timothy Joseph Johnson Kelly Md NPPES

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

TIMOTHY JOSEPH JOHNSON KELLY MD (NPI 1235504572) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD479574) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1235504572

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTIMOTHY JOSEPH JOHNSON KELLYCredential: MD

Location Address2418 E YORK STPhiladelphia, PA 19125-3006

Mailing AddressPo Box 24449New York, NY 10087-0589 · (917) 634-5311

Phone(833) 351-8255

Sole ProprietorNo

Enumeration DateDecember 12, 2015

Last NPPES UpdateApril 15, 20253 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1235504572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in PA · MD479574✔ Licensed in NY · 319784✔ Licensed in OH · 35.148944✔ Licensed in WA · MD61328074✔ Licensed in CA · A197043

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2418 E YORK ST, Philadelphia, PA 19125

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Other Names 1

Former Name (1)Timothy Joseph Johnson

Secondary Practice Locations 4

Location 1109 W 27th St Rm 5SNew York, NY 10001-6208 · Phone (833) 351-8255 · Fax (888) 815-3583

Location 21 W Winter St Ste 200Delaware, OH 43015-4635 · Phone (833) 351-8255 · Fax (888) 815-3583

Location 3100 Pine St Ste 1250San Francisco, CA 94111-5235 · Phone (833) 351-8255 · Fax (888) 815-3583

Location 4400 Union Ave SE Ste 200Olympia, WA 98501-2060 · Phone (833) 351-8255 · Fax (888) 815-3583

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Joseph Johnson Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

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