DR. KELLY DIANE DARBY HOLDER PH.D.
NPI 1477565612
Psychologist - Clinical in Grand Rapids, MI

Q: What is Kelly Holder's NPI number?

The NPI number for Kelly Holder is 1477565612. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Dr. Kelly Diane Darby-Holder Ph.D..

Q: What is Kelly Holder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Holder was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment

250 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 685-5600 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Nov 8, 2016 (2 updates tracked since 2016).

On this page

About Dr. Kelly Diane Darby Holder Ph.d. NPPES

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

DR. KELLY DIANE DARBY HOLDER PH.D. (NPI 1477565612) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019678) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1477565612

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY DIANE DARBY HOLDERCredential: PH.D.

Location Address250 CHERRY ST SEGrand Rapids, MI 49503-4608

Mailing Address200 Jefferson Ave SeGrand Rapids, MI 49503-4502

Phone(616) 685-5600

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2005

Enumeration DateAugust 13, 2006

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1477565612 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 MI · 6301019678

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 ListedPsychologistTaxonomy 103T00000X · License PS016389 (PA), 2973 (TN)

250 CHERRY ST SE, Grand Rapids, MI 49503

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Other Names 1

Professional Name (2)Dr. Kelly Diane Darby-holder Ph.d.

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-8515 · Fax (717) 531-6491

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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. Kelly Diane Darby Holder Ph.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 ID6305030438

PECOS Enrollment IDI20251017000298

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DANIELLE MARIE PIIPPO PA-C

Physician Assistant (Medical)