DR. TARA LEE KELLY PH.D.
NPI 1336155290
Psychologist in Los Angeles, CA
About Dr. Tara Lee Kelly Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TARA LEE KELLY PH.D. (NPI 1336155290) is an individual psychologist in Los Angeles, California, licensed in California (PSY 12349) and active in the NPI registry since July 2006. She has opted out of Medicare through March 26, 2028.
NPPES Registry Identity
Specialties & Licenses
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. Tara Lee Kelly 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 March 26, 2026 through March 26, 2028.
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.
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
W LOS ANGELES, CA 90025
WEST LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
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 Tara Kelly's NPI number?
The NPI number for Tara Kelly is 1336155290. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Tara Kelly located?
Tara Kelly practices at 12304 Santa Monica Blvd Suite 106, Los Angeles, CA 90025. The listed phone number is (310) 559-3629.
What is Tara Kelly's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tara Kelly enrolled in Medicare?
No. Tara Kelly has opted out of Medicare through March 26, 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 Tara Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.