JEREMY MACLAREN KELLY PHD
NPI 1548825078
Psychologist - Clinical in Pittsford, NY

Q: What is Jeremy Kelly's NPI number?

The NPI number for Jeremy Kelly is 1548825078. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Jeremy Kelly'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 Jeremy Kelly was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 09, 2019PECOS Enrolled

179 SULLYS TRL STE 200, PITTSFORD, NY 14534(585) 276-6900(585) 273-1066 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 21, 2025, Nov 29, 2022, Oct 4, 2022 and 4 more (7 updates tracked since 2019).

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About Jeremy Maclaren Kelly Phd NPPES

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

JEREMY MACLAREN KELLY PHD (NPI 1548825078) is an individual clinical provider in Pittsford, New York, licensed in New York (024880-01) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Geneseo.

NPPES Registry Identity

NPI1548825078

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJEREMY MACLAREN KELLYCredential: PHD

Location Address179 SULLYS TRL STE 200Pittsford, NY 14534-4500

Mailing Address300 Crittenden Blvd Box PsychRochester, NY 14642-0001 · (585) 276-6900

Phone(585) 276-6900

Fax(585) 273-1066

Sole ProprietorNo

Enumeration DateMay 9, 2019

Last NPPES UpdateMarch 21, 20257 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1548825078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 024880-01✔ Licensed in NY · 24880

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.

179 SULLYS TRL STE 200, Pittsford, NY 14534

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Secondary Practice Location 1

Location 14 South StGeneseo, NY 14454-1310 · Phone (585) 770-7190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Maclaren Kelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14534 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 5

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

DEBRA S. HOFFMAN PH.D.

Psychologist (Clinical)