KENNETH KELLY
NPI 1336364660
Psychologist - School in Aztec, NM

Active since April 13, 2007
1118 W AZTEC BLVD, AZTEC, NM 87410(505) 334-3695 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Kelly NPPES

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

KENNETH KELLY (NPI 1336364660) is an individual school provider in Aztec, New Mexico and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1336364660
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameKENNETH KELLY
Location Address1118 W AZTEC BLVDAztec, NM 87410-1818
Mailing Address212 N Valley BlvdBloomfield, NM 87413-5749 · (602) 999-3618
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 18, 2010
NPI 1336364660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
1118 W AZTEC BLVD, Aztec, NM 87410

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1118 W AZTEC BLVD
AZTEC, NM 87410
Registered Nurse (School)
1118 W AZTEC BLVD
AZTEC, NM 87410
Local Education Agency (LEA)
1118 W AZTEC BLVD
AZTEC, NM 87410
Social Worker (School)
1118 W AZTEC BLVD
AZTEC, NM 87410
Registered Nurse (School)
1118 W AZTEC BLVD
AZTEC, NM 87410
Registered Nurse
1118 W AZTEC BLVD
AZTEC, NM 87410
Social Worker (School)
1118 W AZTEC BLVD
AZTEC, NM 87410
Local Education Agency (LEA)
1118 W AZTEC BLVD
AZTEC, NM 87410

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 Kenneth Kelly's NPI number?

The NPI number for Kenneth Kelly is 1336364660. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Kenneth Kelly located?

Kenneth Kelly practices at 1118 W Aztec Blvd, Aztec, NM 87410. The listed phone number is (505) 334-3695.

What is Kenneth Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Kenneth Kelly was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.