MR. MICHAEL CASHMAN KELLY MS - LP
NPI 1629281530
Psychologist - Cognitive & Behavioral in Saint Cloud, MN

Q: What is Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1629281530. It was assigned to this individual provider in the NPPES registry on May 7, 2007. The provider is also known as Mr. Michael Patrick Kelly None.

Q: What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 07, 2007

2025 STEARNS WAY, SAINT CLOUD, MN 56303(320) 229-1500(320) 229-1505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Cashman Kelly Ms - Lp NPPES

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

MR. MICHAEL CASHMAN KELLY MS - LP (NPI 1629281530) is an individual cognitive & behavioral provider in Saint Cloud, Minnesota, licensed in Minnesota (LP 4136) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1629281530

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameMR. MICHAEL CASHMAN KELLYCredential: MS - LP

Location Address2025 STEARNS WAYSaint Cloud, MN 56303-4491

Mailing Address3600 W Saint Germain St Apt 256Saint Cloud, MN 56301-4639 · (320) 230-0191

Phone(320) 229-1500

Fax(320) 229-1505

Sole ProprietorNo

Enumeration DateMay 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629281530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MN · LP 4136

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

2025 STEARNS WAY, Saint Cloud, MN 56303

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Other Names 1

Former Name (1)Mr. Michael Patrick Kelly None

Other Identifiers 6

Other422T6KEMN · Blue Cross- Blue Shield

Other62 - 64674MN · United Behavioral Health

Other00189405MN · Mn Employee Id Number

Other13H51876KEMN · B.h.s.i.

Other00189405MN · Employee Id For State Of

Other517402MN · Value Options

Other Providers at the Same Location NPPES 8

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

DR. KARENTHEA W. ROUW D.P.M.

Podiatrist (Foot & Ankle Surgery)

2025 STEARNS WAY, #105
SAINT CLOUD, MN 56303

Stearns County (320) 252-2963

DBT SPECIALISTS P.A.

Counselor (Professional)

2025 STEARNS WAY, SUITE 105
SAINT CLOUD, MN 56303

Stearns County (612) 839-5692

CENTRAL MINNESOTA FOOT AND ANKLE PLLC

Podiatrist (Foot & Ankle Surgery)

2025 STEARNS WAY, SUITE 105
SAINT CLOUD, MN 56303

Stearns County (320) 252-2963

MS. DEBRA ELIZABETH STUMVOLL M.A., L. P.

Psychologist

2025 STEARNS WAY, SUITE 111
SAINT CLOUD, MN 56303

Stearns County (320) 253-3540

DR. GREGORY R. ROUW D.P.M.

Podiatrist (Foot & Ankle Surgery)

2025 STEARNS WAY, #105
SAINT CLOUD, MN 56303

Stearns County (320) 252-2963

CENTER FOR FAMILY COUNSELING INC

Clinic/Center (Adult Mental Health)

2025 STEARNS WAY, SUITE 111
ST CLOUD, MN 56303

Stearns County (320) 253-3540

ALLEN ZETTERLUND P.T.

Physical Therapist

2025 STEARNS WAY, SUITE 114
SAINT CLOUD, MN 56303

Stearns County (320) 229-1500

CINDY LEE KOUBSKY LMFT

Marriage & Family Therapist

2025 STEARNS WAY
SAINT CLOUD, MN 56303

Stearns County (320) 253-3540

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1629281530. It was assigned to this individual provider in the NPPES registry on May 7, 2007. The provider is also known as Mr. Michael Patrick Kelly None.

Where is Michael Kelly located?

Michael Kelly practices at 2025 Stearns Way, Saint Cloud, MN 56303. The listed phone number is (320) 229-1500.

What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.