TIMOTHY ALEXANDER KELLY PHD
NPI 1609756337
Psychologist in Nashville, TN

Active since September 04, 2025PECOS Enrolled
397 WALLACE RD, NASHVILLE, TN 37211(615) 882-1779 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Alexander Kelly Phd NPPES

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

TIMOTHY ALEXANDER KELLY PHD (NPI 1609756337) is an individual psychologist in Nashville, Tennessee, licensed in Tennessee (P1474) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1609756337
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTIMOTHY ALEXANDER KELLYCredential: PHD
Location Address397 WALLACE RDNashville, TN 37211-4854
Mailing Address317 Terri Park WayFranklin, TN 37067-5103 · (626) 676-5156
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1609756337 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 TN · P1474
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.
397 WALLACE RD, Nashville, TN 37211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Alexander Kelly Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365933231
PECOS Enrollment IDI20251118004526
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.

Internal Medicine (Pulmonary Disease)
397 WALLACE RD, STE 415
NASHVILLE, TN 37211
Family Medicine
397 WALLACE RD, BLDG C SUITE 100
NASHVILLE, TN 37211
Ophthalmology
397 WALLACE RD, C-310
NASHVILLE, TN 37211
Internal Medicine (Pulmonary Disease)
397 WALLACE RD, SUITE 415
NASHVILLE, TN 37211
Specialist
397 WALLACE RD, SUITE 216
NASHVILLE, TN 37211
Family Medicine
397 WALLACE RD, SUITE C-314
NASHVILLE, TN 37211
Surgery
397 WALLACE RD, SUITE C414
NASHVILLE, TN 37211
Nurse Practitioner (Family)
397 WALLACE RD
NASHVILLE, TN 37211

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1609756337. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Timothy Kelly located?

Timothy Kelly practices at 397 Wallace Rd, Nashville, TN 37211. The listed phone number is (615) 882-1779.

What is Timothy Kelly's specialty?

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

Is Timothy Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.