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KELLY MARIE PAQUETTE PSY.D.
NPI 1447308028
Psychologist - Clinical in Corte Madera, CA

Active since January 08, 2007Opted out of Medicare · through Apr 1, 2027
100 MEADOWCREEK DR STE 115, CORTE MADERA, CA 94925(415) 794-2391 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Paquette Psy.d. NPPES

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

KELLY MARIE PAQUETTE PSY.D. (NPI 1447308028) is an individual clinical provider in Corte Madera, California, licensed in California (PSY25608) and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2027 and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1447308028
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY MARIE PAQUETTECredential: PSY.D.
Location Address100 MEADOWCREEK DR STE 115Corte Madera, CA 94925-1230
Mailing Address198 Oriole CirNovato, CA 94949-6678 · (415) 794-2391
Phone(415) 794-2391
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1447308028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY25608
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 MEADOWCREEK DR STE 115, Corte Madera, CA 94925
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Secondary Practice Location 1

Location 1788C Vista CtSan Francisco, CA 94129-2276 · Phone (510) 439-6045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Marie Paquette 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 April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA NICHOLS PHD
Psychologist (Clinical)
100 MEADOWCREEK DR STE 115
CORTE MADERA, CA 94925
Marin County (415) 843-1523
DR. GRACE VIVIANNE ROSE SCHWARTZ PSY.D.
Psychologist
100 MEADOWCREEK DR STE 115
CORTE MADERA, CA 94925
Marin County (415) 843-1523
PAGE FREYERMUTH
Psychologist
100 MEADOWCREEK DR STE 115
CORTE MADERA, CA 94925
Marin County (415) 840-0844

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 Paquette's NPI number?

The NPI number for Kelly Paquette is 1447308028. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kelly Paquette located?

Kelly Paquette practices at 100 Meadowcreek Dr Ste 115, Corte Madera, CA 94925. The listed phone number is (415) 794-2391.

What is Kelly Paquette's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Paquette enrolled in Medicare?

No. Kelly Paquette has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Paquette was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.