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

DR. JOHN M KELLEY PHD
NPI 1336130962
Psychologist in Boston, MA

Active since November 02, 2005
55 FRUIT ST, WAC 812, BOSTON, MA 02114(978) 927-5840(617) 726-7541 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John M Kelley Phd NPPES

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

DR. JOHN M KELLEY PHD (NPI 1336130962) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (7787) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1336130962
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN M KELLEYCredential: PHD
Location Address55 FRUIT ST, WAC 812Boston, MA 02114-2621
Mailing AddressPo Box 9142Charlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Fax(617) 726-7541
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1336130962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 7787
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
55 FRUIT ST, Boston, MA 02114

Other Identifiers 1

OtherEYW06020MA · Blue Cross Blue Shield

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 John Kelley's NPI number?

The NPI number for John Kelley is 1336130962. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is John Kelley located?

John Kelley practices at 55 Fruit St Wac 812, Boston, MA 02114. The listed phone number is (978) 927-5840.

What is John Kelley's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for John Kelley was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.