KELLY SHOWEN PSYD
NPI 1316771256
Psychologist - Clinical in Menlo Park, CA

Q: What is Kelly Showen's NPI number?

The NPI number for Kelly Showen is 1316771256. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Q: What is Kelly Showen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kelly Showen enrolled in Medicare?

No. Kelly Showen has opted out of Medicare through November 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Showen was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2024Opted out of Medicare · through Nov 25, 2026

845 EL CAMINO REAL, MENLO PARK, CA 94025(650) 762-8352 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Showen Psyd NPPES

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

KELLY SHOWEN PSYD (NPI 1316771256) is an individual clinical provider in Menlo Park, California, licensed in California (35288) and active in the NPI registry since August 2024. She has opted out of Medicare through November 25, 2026.

NPPES Registry Identity

NPI1316771256

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY SHOWENCredential: PSYD

Location Address845 EL CAMINO REALMenlo Park, CA 94025-4807

Mailing Address845 El Camino RealMenlo Park, CA 94025-4807

Phone(650) 762-8352

Sole ProprietorYes

Enumeration DateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1316771256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 35288

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

845 EL CAMINO REAL, Menlo Park, CA 94025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Showen Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 25, 2024 through November 25, 2026.

Opt-Out Effective DateNovember 25, 2024

Opt-Out In Effect ThroughNovember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

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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.

JULIA CORCORAN PSY.D.

Psychologist