DR. KELLY DIANNE THOMAS PSY.D.
NPI 1548524317
Psychologist - Clinical in Los Angeles, CA

Q: What is Kelly Thomas's NPI number?

The NPI number for Kelly Thomas is 1548524317. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Kelly Thomas'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 Thomas was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 27, 2012PECOS Enrolled

5925 HOLLYWOOD BLVD, LOS ANGELES, CA 90028(213) 259-6013 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Kelly Dianne Thomas Psy.d. NPPES

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

DR. KELLY DIANNE THOMAS PSY.D. (NPI 1548524317) is an individual clinical provider in Los Angeles, California, licensed in California (29646) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548524317

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY DIANNE THOMASCredential: PSY.D.

Location Address5925 HOLLYWOOD BLVDLos Angeles, CA 90028-5409

Mailing Address5925 Hollywood BlvdLos Angeles, CA 90028-5409 · (213) 259-6013

Phone(213) 259-6013

Sole ProprietorNo

Enumeration DateJune 27, 2012

Last NPPES UpdateMarch 22, 2023

NPPES CertifiedMarch 22, 2023

✔ NPI 1548524317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 29646✔ Licensed in IL · 071.008777

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 30156 (IL)

5925 HOLLYWOOD BLVD, Los Angeles, CA 90028

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Dianne Thomas Psy.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meridian Counseling

8.9 mi

Marriage & Family Therapist

11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064

Reassigned Medicare billing, California enrollment
79 clinicians in this Medicare group

NPI 1396202206 (323) 332-9905

Thomas Behavioral Health, P.C.

305 mi

Psychologist

35 E 10TH ST STE D2
Tracy, CA 95376

Reassigned Medicare billing, California enrollment

NPI 1942197058 (702) 626-0941

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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

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

JOHN M. VALENZUELA

Social Worker (Clinical)

5925 HOLLYWOOD BLVD
LOS ANGELES, CA 90028

Los Angeles County (626) 922-6086

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 Kelly Thomas's NPI number?

The NPI number for Kelly Thomas is 1548524317. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Kelly Thomas located?

Kelly Thomas practices at 5925 Hollywood Blvd, Los Angeles, CA 90028. The listed phone number is (213) 259-6013.

What is Kelly Thomas's specialty?

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

Is Kelly Thomas enrolled in Medicare?

Yes. Kelly Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Thomas reassigns Medicare benefits to 2 organizations: Meridian Counseling (Los Angeles, CA) and Thomas Behavioral Health, P.C. (Tracy, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Thomas was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.