Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELLEY KELLY PSYCHIATRIC SERVICES LLC
NPI 1295693828
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA

Active since January 13, 2026
4113 BRIDGEPORT WAY W STE C2, UNIVERSITY PLACE, WA 98466(253) 234-4566(253) 276-6700 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, May 22, 2026, May 15, 2026 and 1 more (4 updates tracked since 2026).

About Shelley Kelly Psychiatric Services Llc NPPES

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

SHELLEY KELLY PSYCHIATRIC SERVICES LLC (NPI 1295693828) is a healthcare organization registered as a psychiatric/mental health in University Place, Washington and active in the NPI registry since January 2026. The organization lists Shelley Jette-kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1295693828
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSHELLEY KELLY PSYCHIATRIC SERVICES LLC
Location Address4113 BRIDGEPORT WAY W STE C2University Place, WA 98466-4325
Mailing Address4113 Bridgeport Way W Ste C2University Place, WA 98466-4325 · (253) 234-4566 · Fax (253) 276-6700
Fax(253) 276-6700
Organization SubpartNo
Authorized OfficialShelley Jette-kellyOwner · (253) 234-4566
Enumeration DateJanuary 13, 2026
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1295693828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4113 BRIDGEPORT WAY W STE C2, University Place, WA 98466

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Nurse Practitioner (Psychiatric/Mental Health)
4113 BRIDGEPORT WAY W STE C2
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W STE C2
UNIVERSITY PLACE, WA 98466

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 Shelley Kelly Psychiatric Services LLC's NPI number?

The NPI number for Shelley Kelly Psychiatric Services LLC is 1295693828. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Shelley Kelly Psychiatric Services LLC located?

Shelley Kelly Psychiatric Services LLC is located at 4113 Bridgeport Way W Ste C2, University Place, WA 98466. The listed phone number is (253) 234-4566.

What is Shelley Kelly Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shelley Kelly Psychiatric Services LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.