DR. LUCIA KELLAR PH.D.
NPI 1619039609
Clinical Neuropsychologist in New York, NY

Active since December 15, 2006Opted out of Medicare · through Nov 10, 2026
405 W 23RD ST, 6E, NEW YORK, NY 10011(212) 366-5015 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lucia Kellar Ph.d. NPPES

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

DR. LUCIA KELLAR PH.D. (NPI 1619039609) is an individual clinical neuropsychologist in New York, New York, licensed in New York (006000) and active in the NPI registry since December 2006. She has opted out of Medicare through November 10, 2026.

NPPES Registry Identity

NPI1619039609
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LUCIA KELLARCredential: PH.D.
Location Address405 W 23RD ST, 6ENew York, NY 10011-1404
Mailing Address405 W 23rd St, 6eNew York, NY 10011-1404 · (212) 366-5015
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1619039609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NY · 006000
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 006000 (NY)
405 W 23RD ST, New York, NY 10011

Other Identifiers 2

Other0080961NY · Ghi
Other137035NY · Value Options

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lucia Kellar 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 November 10, 2020 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2020
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Podiatrist
405 W 23RD ST
NEW YORK, NY 10011
Psychoanalyst
405 W 23RD ST, 14 E
NEW YORK, NY 10011
Podiatrist
405 W 23RD ST
NEW YORK, NY 10011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619039609, enumerated as an "individual" on December 15, 2006.

The provider is located at 405 W 23RD ST 6E NEW YORK, NY 10011 and the phone number is (212) 366-5015.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.