DR. KEVIN WILLIAM KELLY PSY.D.
NPI 1619984309
Psychologist - Clinical in East Petersburg, PA

Q: What is Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1619984309. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Kevin 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 Kevin Kelly was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 02, 2006

2013 STATE STREET, EAST PETERSBURG, PA 17520(717) 291-8283(717) 581-6528 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kevin William Kelly Psy.d. NPPES

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

DR. KEVIN WILLIAM KELLY PSY.D. (NPI 1619984309) is an individual clinical provider in East Petersburg, Pennsylvania, licensed in Pennsylvania (PS-008835-L) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1619984309

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEVIN WILLIAM KELLYCredential: PSY.D.

Location Address2013 STATE STREETEast Petersburg, PA 17520-1216

Mailing Address2013 State StreetEast Petersburg, PA 17520-1216 · (717) 291-8283 · Fax (717) 581-6528

Phone(717) 291-8283

Fax(717) 581-6528

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateFebruary 10, 2010

✔ NPI 1619984309 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 · PS-008835-L

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.

2013 STATE STREET, East Petersburg, PA 17520

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Other Identifiers 6

Other000411068PA · Highmark Blue Shield #

Other01786901PA · Capital Blue Cross Prov#

Other458436PA · Value Options Prov #

OtherP00180931PA · Railroad Medicare Prov #

Medicare ID-Type Unspecified022121PA · Medicare Provider Number

Other02695800PA · Capital Blue Cross Pract#

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1619984309. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Kevin Kelly located?

Kevin Kelly practices at 2013 State Street, East Petersburg, PA 17520. The listed phone number is (717) 291-8283.

What is Kevin Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.