KAITLIN ELIZABETH TULLY PHD
NPI 1548455645
Psychologist - Clinical Child & Adolescent in Walnut Creek, CA

Q: What is Kaitlin Tully's NPI number?

The NPI number for Kaitlin Tully is 1548455645. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is Kaitlin Tully's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Tully was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 11, 2007PECOS Enrolled

710 S BROADWAY, SUITE 300, WALNUT CREEK, CA 94596(925) 295-4145 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kaitlin Elizabeth Tully Phd NPPES

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

KAITLIN ELIZABETH TULLY PHD (NPI 1548455645) is an individual clinical child & adolescent provider in Walnut Creek, California, licensed in California (PSY26402) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548455645

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKAITLIN ELIZABETH TULLYCredential: PHD

Location Address710 S BROADWAY, SUITE 300Walnut Creek, CA 94596-5294

Mailing Address1425 S Main StWalnut Creek, CA 94596-5318 · (925) 295-4145

Phone(925) 295-4145

Sole ProprietorNo

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1548455645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY26402

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

710 S BROADWAY, Walnut Creek, CA 94596

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Elizabeth Tully Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

ELIZABETH KRAMER LMFT

Marriage & Family Therapist

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 274-9049

KATRINA DOMINGO PSY.D.

Psychologist

710 S BROADWAY, SUITE #209
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4901

DR. JENNIFER JO BARKIN PSY.D.

Psychologist (Clinical)

710 S BROADWAY, SUITE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

MS. SUE ELLEN FLOOD LCSW

Social Worker (Clinical)

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-5263

MR. LAWRENCE RICHARD FOSTER LMFT.

Counselor (Addiction (Substance Use Disorder))

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4619

CATHARINE ELIZABETH KIBIRA PH.D.

Psychologist (Addiction (Substance Use Disorder))

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

JESSICA SINGERMAN PSY.D.

Psychologist

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

KAISER PERMANENTE

Health Maintenance Organization

710 S BROADWAY
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-2960

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 Kaitlin Tully's NPI number?

The NPI number for Kaitlin Tully is 1548455645. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Kaitlin Tully located?

Kaitlin Tully practices at 710 S Broadway Suite 300, Walnut Creek, CA 94596. The listed phone number is (925) 295-4145.

What is Kaitlin Tully's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kaitlin Tully enrolled in Medicare?

Yes. Kaitlin Tully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Tully was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.