DR. SHANNON KELLY PSY.D.
NPI 1457313330
Psychologist - Health Service in Winter Park, FL

Active since April 05, 2006
6001 BRICK CT, SUITE 201, WINTER PARK, FL 32792(407) 671-1123(407) 671-1233 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shannon Kelly Psy.d. NPPES

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

DR. SHANNON KELLY PSY.D. (NPI 1457313330) is an individual health service provider in Winter Park, Florida, licensed in Florida (PY7017) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1457313330
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. SHANNON KELLYCredential: PSY.D.
Location Address6001 BRICK CT, SUITE 201Winter Park, FL 32792-9425
Mailing Address6001 Brick Ct, Suite 201Winter Park, FL 32792-9425 · (407) 671-1123 · Fax (407) 671-1233
Fax(407) 671-1233
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457313330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in FL · PY7017
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

6001 BRICK CT, Winter Park, FL 32792

Other Identifiers 1

Medicare ID-Type Unspecified74434ZFL

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
6001 BRICK CT, STE 101
WINTER PARK, FL 32792
Physical Therapist
6001 BRICK CT, SUITE 121
WINTER PARK, FL 32792
Counselor (Mental Health)
6001 BRICK CT, SUITE 109
WINTER PARK, FL 32792
Community/Behavioral Health
6001 BRICK CT, SUITE 109
WINTER PARK, FL 32792
Acupuncturist
6001 BRICK CT, SUITE#117
WINTER PARK, FL 32792
Psychologist (Counseling)
6001 BRICK CT, STE 109
WINTER PARK, FL 32792
Counselor (Mental Health)
6001 BRICK CT
WINTER PARK, FL 32792

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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1457313330. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Shannon Kelly located?

Shannon Kelly practices at 6001 Brick Ct Suite 201, Winter Park, FL 32792. The listed phone number is (407) 671-1123.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.