KELLY CORREA PHD, LP
NPI 1427948157
Psychologist in San Diego, CA

Active since July 04, 2025PECOS EnrolledAccepts Medicare Assignment
6386 ALVARADO CT STE 210, SAN DIEGO, CA 92120(858) 279-1223 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 25, 2025, Jul 9, 2025, Jul 4, 2025 (3 updates tracked since 2025).

About Kelly Correa Phd, Lp NPPES

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

KELLY CORREA PHD, LP (NPI 1427948157) is an individual psychologist in San Diego, California, licensed in California (36010) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1427948157
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLY CORREACredential: PHD, LP
Location Address6386 ALVARADO CT STE 210San Diego, CA 92120-4907
Mailing Address6386 Alvarado Ct Ste 210San Diego, CA 92120-4907 · (858) 279-1223
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022
Enumeration DateJuly 4, 2025
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1427948157 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 · 36010
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.
6386 ALVARADO CT STE 210, San Diego, CA 92120

Secondary Practice Location 1

Location 13990 Old Town Ave Ste C303San Diego, CA 92110-2932 · Phone (858) 964-0722

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

Kelly Correa Phd, Lp 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.

PECOS PAC ID6800396425
PECOS Enrollment IDI20250826004525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Correa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
3990 OLD TOWN AVE STE C303
San Diego, CA 92110
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Pacific Neurobehavioral Clinic Inc
  • 10 clinicians in this Medicare group
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 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.

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.

Social Worker (Clinical)
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Marriage & Family Therapist
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Social Worker (Clinical)
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Social Worker (Clinical)
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Marriage & Family Therapist
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Marriage & Family Therapist
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Counselor (Mental Health)
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120
Social Worker (Clinical)
6386 ALVARADO CT STE 210
SAN DIEGO, CA 92120

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 Correa's NPI number?

The NPI number for Kelly Correa is 1427948157. It was assigned to this individual provider in the NPPES registry on July 4, 2025.

Where is Kelly Correa located?

Kelly Correa practices at 6386 Alvarado Ct Ste 210, San Diego, CA 92120. The listed phone number is (858) 279-1223.

What is Kelly Correa's specialty?

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

Is Kelly Correa enrolled in Medicare?

Yes. Kelly Correa 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 Correa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Correa reassigns Medicare benefits to 2 organizations: Pacific Neurobehavioral Clinic: A Psychological Corporation (San Diego, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Correa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Correa was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.