DR. LAURENCE MERRILL KELLY SR. ED.D.
NPI 1457418451
Psychologist in Manchester, NH

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
30 CANTON ST, SUITE 13, MANCHESTER, NH 03103(603) 625-1670(603) 625-0335 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laurence Merrill Kelly Sr. Ed.d. NPPES

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

DR. LAURENCE MERRILL KELLY SR. ED.D. (NPI 1457418451) is an individual psychologist in Manchester, New Hampshire, licensed in New Hampshire (NH-659) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1457418451
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. LAURENCE MERRILL KELLY SR.Credential: ED.D.
Location Address30 CANTON ST, SUITE 13Manchester, NH 03103-3524
Mailing Address30 Canton St, Suite 13Manchester, NH 03103-3524 · (603) 625-1670 · Fax (603) 625-0335
Fax(603) 625-0335
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1457418451 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 NH · NH-659
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.
30 CANTON ST, Manchester, NH 03103

Other Identifiers 2

Medicaid80008144NH
Medicare ID-Type UnspecifiedKE RE5603MA · Medicare Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Laurence Merrill Kelly Sr. Ed.d. 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 ID5799708152
PECOS Enrollment IDI20060111000883
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.

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology
30 CANTON ST, SUITE 6
MANCHESTER, NH 03103
Dentist (Periodontics)
30 CANTON ST, SUITE 12
MANCHESTER, NH 03103
Otolaryngology
30 CANTON ST, STE 2
MANCHESTER, NH 03103
Obstetrics & Gynecology (Obstetrics)
30 CANTON ST, SUITE 6
MANCHESTER, NH 03103
Psychologist
30 CANTON ST, SUITE 13
MANCHESTER, NH 03103
Counselor (Mental Health)
30 CANTON ST, SUITE 13
MANCHESTER, NH 03103
Otolaryngology
30 CANTON ST, SUITE #2
MANCHESTER, NH 03103
Advanced Practice Midwife
30 CANTON ST, SUITE 6
MANCHESTER, NH 03103

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 Laurence Kelly's NPI number?

The NPI number for Laurence Kelly is 1457418451. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Laurence Kelly located?

Laurence Kelly practices at 30 Canton St Suite 13, Manchester, NH 03103. The listed phone number is (603) 625-1670.

What is Laurence Kelly's specialty?

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

Is Laurence Kelly enrolled in Medicare?

Yes. Laurence Kelly 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.

What insurance does Laurence Kelly accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan and 1 other insurer list Laurence Kelly 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 Laurence Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.