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

REBECCA KELLEY
NPI 1316568819
Psychologist - Clinical Child & Adolescent in Boise, ID

Active since May 06, 2020PECOS Enrolled
305 E JEFFERSON ST, BOISE, ID 83712(208) 381-5000(208) 381-5005 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Aug 25, 2023, May 6, 2020 (3 updates tracked since 2020).

About Rebecca Kelley NPPES

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

REBECCA KELLEY (NPI 1316568819) is an individual clinical child & adolescent provider in Boise, Idaho, licensed in Idaho (PSY-203727) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1316568819
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameREBECCA KELLEY
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-5000
Fax(208) 381-5005
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1316568819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in ID · PSY-203727
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
305 E JEFFERSON ST, Boise, ID 83712
Open in Google Maps ↗

Other Names 1

Former Name (1)Rebecca Bridges

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Rebecca Kelley 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.

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.

HAILEY LIZABETH COLLETTE MS
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
ARIANA LAWRENCE MS, RD, LD
Dietitian, Registered
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
NATALIE PARRISH LCSW
Social Worker (Clinical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7340
DR. PAUL CHRISTIAN NEVILLE O.D.
Optometrist
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-6910
LINDSEY RAE WENDEL CPNP-PC
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7011
JASON JOHN OVEROCKER PA-C
Physician Assistant (Surgical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7370
KODY MICHAEL DUCLOS RD, LD
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
KELSEY EILEEN MOE PCP-NP
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 706-5437

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 Rebecca Kelley's NPI number?

The NPI number for Rebecca Kelley is 1316568819. It was assigned to this individual provider in the NPPES registry on May 6, 2020. The provider is also known as Rebecca Bridges.

Where is Rebecca Kelley located?

Rebecca Kelley practices at 305 E Jefferson St, Boise, ID 83712. The listed phone number is (208) 381-5000.

What is Rebecca Kelley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Rebecca Kelley enrolled in Medicare?

Yes. Rebecca Kelley is registered in the Medicare PECOS enrollment system.

What insurance does Rebecca Kelley accept?

Health plans from Moda Health Plan, Inc. list Rebecca Kelley 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 Rebecca Kelley was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.