DR. KEELY KOLMES PSY.D.
NPI 1386867273
Psychologist in Oakland, CA

Active since April 10, 2007Opted out of Medicare · through Jan 1, 2027
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609(415) 501-9098 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Dec 28, 2016 (2 updates tracked since 2016).

About Dr. Keely Kolmes Psy.d. NPPES

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

DR. KEELY KOLMES PSY.D. (NPI 1386867273) is an individual psychologist in Oakland, California, licensed in California (PSY21284) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386867273
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEELY KOLMESCredential: PSY.D.
Location Address2940 SUMMIT ST STE 2DOakland, CA 94609-3416
Mailing Address2940 Summit St Ste 2dOakland, CA 94609-3416 · (415) 501-9098
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1386867273 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 CA · PSY21284
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.
2940 SUMMIT ST STE 2D, Oakland, CA 94609

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. Keely Kolmes Psy.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 January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychiatry & Neurology (Psychiatry)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Health and Wellness Coach
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Marriage & Family Therapist
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Marriage & Family Therapist
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Psychologist (Clinical)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609

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 Keely Kolmes's NPI number?

The NPI number for Keely Kolmes is 1386867273. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Keely Kolmes located?

Keely Kolmes practices at 2940 Summit St Ste 2D, Oakland, CA 94609. The listed phone number is (415) 501-9098.

What is Keely Kolmes's specialty?

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

Is Keely Kolmes enrolled in Medicare?

No. Keely Kolmes has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keely Kolmes was last updated on November 29, 2021. 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.