1. Home
  2. Directory
  3. Pennsylvania
  4. Paoli
  5. Psychologist
  6. NPI Profile

KELLY WILLIAMS PSYD
NPI 1629203435
Psychologist - Clinical Child & Adolescent in Paoli, PA

Active since May 22, 2009PECOS Enrolled
1440 RUSSELL RD, PAOLI, PA 19301(610) 644-6464(610) 644-4066 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Williams Psyd NPPES

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

KELLY WILLIAMS PSYD (NPI 1629203435) is an individual clinical child & adolescent provider in Paoli, Pennsylvania, licensed in Pennsylvania (PS016457) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629203435
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameKELLY WILLIAMSCredential: PSYD
Location Address1440 RUSSELL RDPaoli, PA 19301-1236
Mailing Address1440 Russell RdPaoli, PA 19301-1236 · (610) 644-6464 · Fax (610) 644-4066
Phone(610) 644-6464
Fax(610) 644-4066
Sole ProprietorNo
Enumeration DateMay 22, 2009
✔ NPI 1629203435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in PA · PS016457
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1440 RUSSELL RD, Paoli, PA 19301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Williams Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reading Hospital
32 mi
Family Medicine
430 N 2ND ST
Reading, PA 19601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1386702413 (484) 628-0400
Childrens Specialty Group PLLC
224 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LOUIS BEVILACQUA PSYD
Psychologist (Clinical)
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
EDWIN CAMIEL
Psychiatry & Neurology (Psychiatry)
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
GUY MURRAY MS
Counselor (Addiction (Substance Use Disorder))
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
RICHARD MOLLICA
Counselor (Addiction (Substance Use Disorder))
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
PATRICIA A LLOYD MA
Counselor (Addiction (Substance Use Disorder))
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
KRISTIN BRIGHTBILL
Counselor (Professional)
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
JOY ROSENTHAL MSW
Social Worker (Clinical)
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464
LINDSEY R. DUNN MA
Counselor (Addiction (Substance Use Disorder))
1440 RUSSELL RD
PAOLI, PA 19301
Chester County (610) 644-6464

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 Kelly Williams's NPI number?

The NPI number for Kelly Williams is 1629203435. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Kelly Williams located?

Kelly Williams practices at 1440 Russell Rd, Paoli, PA 19301. The listed phone number is (610) 644-6464.

What is Kelly Williams's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kelly Williams enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Williams reassigns Medicare benefits to 2 organizations: Reading Hospital (Reading, PA) and Childrens Specialty Group PLLC (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Williams was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.