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DR. JAKE KELLY
NPI 1386094993
Psychologist - Forensic in Wasco, CA

Active since June 14, 2016
701 SCOFIELD AVE, WASCO, CA 93280(661) 758-8400 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jake Kelly NPPES

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

DR. JAKE KELLY (NPI 1386094993) is an individual forensic provider in Wasco, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1386094993
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDR. JAKE KELLY
Location Address701 SCOFIELD AVEWasco, CA 93280-7515
Mailing Address425 EstanciaIrvine, CA 92602-1108 · (408) 505-0654
Phone(661) 758-8400
Sole ProprietorNo
Enumeration DateJune 14, 2016
✔ NPI 1386094993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
701 SCOFIELD AVE, Wasco, CA 93280
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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.

MRS. NIMOTALAI BUKKY RUFAI
Social Worker (Clinical)
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
DERRICK C RUFUS PSYD
Student in an Organized Health Care Education/Training Program
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
MARLENE ACEVEDO MANZO LCSW
Social Worker (Clinical)
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (562) 308-6749
DR. MINDY JANE TEWS PH.D.
Psychologist (Clinical)
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
BL LE BUI
Dentist
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
VALERIA OCHOA LOPEZ ACSW
Student in an Organized Health Care Education/Training Program
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
CA DEPARTMENT OF CORRECTIONS
Case Management
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400
DR. MAGUED RIZK M.D
Family Medicine
701 SCOFIELD AVE
WASCO, CA 93280
Kern County (661) 758-8400

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 Jake Kelly's NPI number?

The NPI number for Jake Kelly is 1386094993. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Jake Kelly located?

Jake Kelly practices at 701 Scofield Ave, Wasco, CA 93280. The listed phone number is (661) 758-8400.

What is Jake Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Jake Kelly was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.