JAMES D KELLY PH.D
NPI 1598867665
Psychologist - Clinical in Cincinnati, OH

Active since September 01, 2006Opted out of Medicare · through Mar 18, 2027
11161 KENWOOD RD, CINCINNATI, OH 45242(513) 769-4600(513) 769-0304 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James D Kelly Ph.d NPPES

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

JAMES D KELLY PH.D (NPI 1598867665) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (4093) and active in the NPI registry since September 2006. He has opted out of Medicare through March 18, 2027.

NPPES Registry Identity

NPI1598867665
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJAMES D KELLYCredential: PH.D
Location Address11161 KENWOOD RDCincinnati, OH 45242-1817
Mailing Address11161 Kenwood RdCincinnati, OH 45242-1817 · (513) 769-4600 · Fax (513) 769-0304
Fax(513) 769-0304
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598867665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OH · 4093
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.
11161 KENWOOD RD, Cincinnati, OH 45242

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

James D Kelly Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2015 through March 18, 2027.

Opt-Out Effective DateMarch 18, 2015
Opt-Out In Effect ThroughMarch 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker (Clinical)
11161 KENWOOD RD
BLUE ASH, OH 45242
Counselor (Mental Health)
11161 KENWOOD RD
CINCINNATI, OH 45242
Counselor (Mental Health)
11161 KENWOOD RD
BLUE ASH, OH 45242
Psychiatry & Neurology (Psychiatry)
11161 KENWOOD RD
CINCINNATI, OH 45242
Registered Nurse (Psychiatric/Mental Health, Adult)
11161 KENWOOD RD
BLUE ASH, OH 45242
Counselor (Mental Health)
11161 KENWOOD RD
CINCINNATI, OH 45242
Social Worker
11161 KENWOOD RD
CINCINNATI, OH 45242
Counselor (Mental Health)
11161 KENWOOD RD
BLUE ASH, OH 45242

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 James Kelly's NPI number?

The NPI number for James Kelly is 1598867665. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is James Kelly located?

James Kelly practices at 11161 Kenwood Rd, Cincinnati, OH 45242. The listed phone number is (513) 769-4600.

What is James Kelly's specialty?

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

Is James Kelly enrolled in Medicare?

No. James Kelly has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on July 8, 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.