DR. KATHLYN CLEMENTELLI PH.D
NPI 1326397464
Psychologist - Clinical in Campbell, CA

Q: What is Kathlyn Clementelli's NPI number?

The NPI number for Kathlyn Clementelli is 1326397464. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Dr. Kathlyn Clementelli.

Q: What is Kathlyn Clementelli's specialty?

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

Q: Is Kathlyn Clementelli enrolled in Medicare?

No. Kathlyn Clementelli has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 05, 2012Opted out of Medicare · through May 29, 2028

3425 S BASCOM AVE STE 250, CAMPBELL, CA 95008(408) 204-8518 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 3, 2017 (2 updates tracked since 2017).

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About Dr. Kathlyn Clementelli Ph.d NPPES

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

DR. KATHLYN CLEMENTELLI PH.D (NPI 1326397464) is an individual clinical provider in Campbell, California, licensed in California (28217) and active in the NPI registry since September 2012. She has opted out of Medicare through May 29, 2028.

NPPES Registry Identity

NPI1326397464

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHLYN CLEMENTELLICredential: PH.D

Location Address3425 S BASCOM AVE STE 250Campbell, CA 95008-7321

Mailing Address3425 S Bascom Ave Ste 250Campbell, CA 95008-7321 · (408) 204-8518

Phone(408) 204-8518

Sole ProprietorYes

Enumeration DateSeptember 5, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1326397464 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 · 28217

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.

3425 S BASCOM AVE STE 250, Campbell, CA 95008

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Other Names 1

Other Name (5)Dr. Kathlyn Clementelli

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathlyn Clementelli Ph.d 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 May 29, 2020 through May 29, 2028.

Opt-Out Effective DateMay 29, 2020

Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. MARIA CHRISTINA LLOYD M.S.

Marriage & Family Therapist

3425 S BASCOM AVE STE 250
CAMPBELL, CA 95008

Santa Clara County (408) 250-2166

M. DOUGLAS MAR M.D.

Psychiatry & Neurology (Psychiatry)

3425 S BASCOM AVE STE 250
CAMPBELL, CA 95008

Santa Clara County (408) 486-9507

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 Kathlyn Clementelli's NPI number?

The NPI number for Kathlyn Clementelli is 1326397464. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Dr. Kathlyn Clementelli.

Where is Kathlyn Clementelli located?

Kathlyn Clementelli practices at 3425 S Bascom Ave Ste 250, Campbell, CA 95008. The listed phone number is (408) 204-8518.

What is Kathlyn Clementelli's specialty?

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

Is Kathlyn Clementelli enrolled in Medicare?

No. Kathlyn Clementelli has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathlyn Clementelli was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.