TIM KELLY, LCSW, PSYCHOTHERAPIST, PA
NPI 1457628646
Community/Behavioral Health in Key West, FL

Active since November 16, 2011
3706 N ROOSEVELT BLVD, B, KEY WEST, FL 33040(305) 294-1277(305) 294-8927 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tim Kelly, Lcsw, Psychotherapist, Pa NPPES

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

TIM KELLY, LCSW, PSYCHOTHERAPIST, PA (NPI 1457628646) is a healthcare organization registered as a community/behavioral health in Key West, Florida and active in the NPI registry since November 2011. The organization lists Timothy Matthias Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1457628646
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTIM KELLY, LCSW, PSYCHOTHERAPIST, PA
Location Address3706 N ROOSEVELT BLVD, BKey West, FL 33040-4566
Mailing Address3706 N Roosevelt Blvd, BKey West, FL 33040-4566 · (305) 294-1277 · Fax (305) 294-8927
Fax(305) 294-8927
Organization SubpartNo
Authorized OfficialTimothy Matthias KellyPresident · (305) 872-3187
Enumeration DateNovember 16, 2011
NPI 1457628646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in FL · SW3573
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3706 N ROOSEVELT BLVD, Key West, FL 33040

Other Identifiers 1

Medicare PINZ7923FL

Other Providers at the Same Location NPPES 9

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

Family Medicine
3706 N ROOSEVELT BLVD
KEY WEST, FL 33040
Registered Nurse
3706 N ROOSEVELT BLVD, SUITE G
KEY WEST, FL 33040
Dentist
3706 N ROOSEVELT BLVD, SUITE A
KEY WEST, FL 33040
Psychologist
3706 N ROOSEVELT BLVD, SUITE B
KEY WEST, FL 33040
Family Medicine
3706 N ROOSEVELT BLVD, SUITE G
KEY WEST, FL 33040
Dental Hygienist
3706 N ROOSEVELT BLVD
KEY WEST, FL 33040
Clinic/Center (Federally Qualified Health Center (FQHC))
3706 N ROOSEVELT BLVD, SUITE 3710
KEY WEST, FL 33040
Social Worker (Clinical)
3706 N ROOSEVELT BLVD
KEY WEST, FL 33040

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 Tim Kelly, Lcsw, Psychotherapist, PA's NPI number?

The NPI number for Tim Kelly, Lcsw, Psychotherapist, PA is 1457628646. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Tim Kelly, Lcsw, Psychotherapist, PA located?

Tim Kelly, Lcsw, Psychotherapist, PA is located at 3706 N Roosevelt Blvd B, Key West, FL 33040. The listed phone number is (305) 294-1277.

What is Tim Kelly, Lcsw, Psychotherapist, PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tim Kelly, Lcsw, Psychotherapist, PA was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.