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NICOLE JAMILAH MCKELVEY M.S.
NPI 1619529328
Psychologist - Clinical in Philadelphia, PA

Active since July 12, 2019Opted out of Medicare · through Oct 1, 2028
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-8363 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, May 24, 2023, Jul 15, 2021 and 1 more (4 updates tracked since 2019).

About Nicole Jamilah Mckelvey M.s. NPPES

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

NICOLE JAMILAH MCKELVEY M.S. (NPI 1619529328) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019253) and active in the NPI registry since July 2019. She has opted out of Medicare through October 1, 2028.

NPPES Registry Identity

NPI1619529328
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE JAMILAH MCKELVEYCredential: M.S.
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 427-8363
Sole ProprietorNo
Enumeration DateJuly 12, 2019
Last NPPES UpdateMay 22, 20244 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1619529328 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 PA · PS019253
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.
160 E ERIE AVE, Philadelphia, PA 19134
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Jamilah Mckelvey M.s. 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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-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.

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

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 Nicole Mckelvey's NPI number?

The NPI number for Nicole Mckelvey is 1619529328. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Nicole Mckelvey located?

Nicole Mckelvey practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-8363.

What is Nicole Mckelvey's specialty?

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

Is Nicole Mckelvey enrolled in Medicare?

No. Nicole Mckelvey has opted out of Medicare through October 1, 2028. 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 Nicole Mckelvey was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.