DR. KELLY K COLEMAN PSY.D., ABPP, RD
NPI 1407189756
Psychologist - Clinical in Honolulu, HI
About Dr. Kelly K Coleman Psy.d., Abpp, Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY K COLEMAN PSY.D., ABPP, RD (NPI 1407189756) is an individual clinical provider in Honolulu, Hawaii, licensed in Washington (PY 60130390) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly K Coleman Psy.d., Abpp, Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Coleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96814
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: The Queens Medical Center
- 809 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelly Coleman's NPI number?
The NPI number for Kelly Coleman is 1407189756. It was assigned to this individual provider in the NPPES registry on September 17, 2009.
Where is Kelly Coleman located?
Kelly Coleman practices at 2113 Mckinley St, Honolulu, HI 96822. The listed phone number is (808) 286-2659.
What is Kelly Coleman's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kelly Coleman enrolled in Medicare?
Yes. Kelly Coleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Coleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Coleman reassigns Medicare benefits to 2 organizations: The Queen's Medical Center (Honolulu, HI) and Queens University Medical Group (Honolulu, HI). Each 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 Kelly Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Coleman accept?
Health plans from HMSA list Kelly Coleman 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.
Is Kelly Coleman affiliated with any hospitals?
According to CMS data, Kelly Coleman is affiliated with The Queens Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Coleman was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kelly K Coleman, PSY.D., ABPP, RD · NPI 1407189756
Clinical provider in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since September 17, 2009.
## Identity
- **NPI:** 1407189756 (Entity type: Individual)
- **Enumerated:** September 17, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY 60130390 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2113 MCKINLEY ST, Honolulu, HI 96822-2133
- **Phone:** (808) 286-2659
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Queen's Medical Center (NPI 1366065591, Honolulu, HI); Queens University Medical Group (NPI 1891441382, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 23, 2024
- **Other identifiers:** Other H00433047 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1407189756) · Data from the CMS NPPES public registry.