DR. KELLY M BUSH PSY.D.
NPI 1649321191
Psychologist in Walnut Creek, CA

Active since January 12, 2007PECOS Enrolled
710 S BROADWAY STE 300, DEPT OF MENTAL HEALTH, WALNUT CREEK, CA 94596(925) 295-4145 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly M Bush Psy.d. NPPES

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

DR. KELLY M BUSH PSY.D. (NPI 1649321191) is an individual psychologist in Walnut Creek, California, licensed in California (19826) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649321191
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY M BUSHCredential: PSY.D.
Location Address710 S BROADWAY STE 300, DEPT OF MENTAL HEALTHWalnut Creek, CA 94596-5229
Mailing Address710 S Broadway Ste 300, Dept Of Mental HealthWalnut Creek, CA 94596-5229 · (925) 295-4145
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
NPI 1649321191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 19826
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
710 S BROADWAY STE 300, Walnut Creek, CA 94596

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kelly M Bush Psy.d. 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 10

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

Social Worker (Clinical)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Psychologist (Addiction (Substance Use Disorder))
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Social Worker (Clinical)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Psychologist (Clinical)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Social Worker (Clinical)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Psychologist
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Nurse Practitioner (Family)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596
Psychologist (Clinical)
710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

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 Bush's NPI number?

The NPI number for Kelly Bush is 1649321191. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kelly Bush located?

Kelly Bush practices at 710 S Broadway Ste 300 Dept Of Mental Health, Walnut Creek, CA 94596. The listed phone number is (925) 295-4145.

What is Kelly Bush's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kelly Bush enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Bush was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.