SCOTT KELLY & ASSOCIATES PC
NPI 1396885604
Psychologist in Kalamazoo, MI

Active since February 07, 2007
3125 W MAIN ST, KALAMAZOO, MI 49006(269) 488-5905 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Kelly & Associates Pc NPPES

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

SCOTT KELLY & ASSOCIATES PC (NPI 1396885604) is a healthcare organization registered as a psychologist in Kalamazoo, Michigan and active in the NPI registry since February 2007. The organization lists Scott Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1396885604
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSCOTT KELLY & ASSOCIATES PC
Location Address3125 W MAIN STKalamazoo, MI 49006-2997
Mailing Address3125 W Main StKalamazoo, MI 49006-2997 · (269) 488-5905
Organization SubpartNo
Authorized OfficialScott KellyPresident · (269) 488-5905
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396885604 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 MI · 6301006856
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.
3125 W MAIN ST, Kalamazoo, MI 49006

Other Identifiers 1

Other6301006856MI · Mi Psychologist License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Kelly & Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scott Kelly & Associates PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1184892051
3125 W MAIN ST
Kalamazoo, MI 49006
(269) 488-5905
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Scott Kelly & Associates PC's NPI number?

The NPI number for Scott Kelly & Associates PC is 1396885604. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Scott Kelly & Associates PC located?

Scott Kelly & Associates PC is located at 3125 W Main St, Kalamazoo, MI 49006. The listed phone number is (269) 488-5905.

What is Scott Kelly & Associates PC's specialty?

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

Is Scott Kelly & Associates PC enrolled in Medicare?

Yes. Scott Kelly & Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Kelly & Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Scott Kelly & Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Scott Kelly & Associates PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Scott Kelly & Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Kelly & Associates PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.