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

Q: 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.

Q: What is Kelly Williams's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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Medicare Participation & PECOS CMS

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

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.

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)