KEVIN THOMAS KELLY PH.D.
NPI 1508059080
Psychologist in Ukiah, CA

Active since August 20, 2007
598 COCHRANE AVE, UKIAH, CA 95482(707) 463-1447(866) 204-9690 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Thomas Kelly Ph.d. NPPES

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

KEVIN THOMAS KELLY PH.D. (NPI 1508059080) is an individual psychologist in Ukiah, California, licensed in California (PSY9275) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1508059080
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKEVIN THOMAS KELLYCredential: PH.D.
Location Address598 COCHRANE AVEUkiah, CA 95482-5621
Mailing Address598 Cochrane AveUkiah, CA 95482-5621 · (707) 463-1447 · Fax (866) 204-9690
Fax(866) 204-9690
Sole ProprietorYes
Enumeration DateAugust 20, 2007
NPI 1508059080 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 CA · PSY9275
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.
598 COCHRANE AVE, Ukiah, CA 95482

Other Identifiers 6

Other#00PL92750CA · Blue Shield Submitter
OtherPA0092759CA · Medi-cal
Medicare UPIN00PL92750CA
OtherPSY00009275CA · Blue Cross
OtherA00PL92750CA · Blue Shield Uic #
Other7809105CA · Blue Cross Pin

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
598 COCHRANE AVE
UKIAH, CA 95482

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1508059080. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Kevin Kelly located?

Kevin Kelly practices at 598 Cochrane Ave, Ukiah, CA 95482. The listed phone number is (707) 463-1447.

What is Kevin Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on August 20, 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.