DR. PATRICK ALLEN KELLY PSY.D NPI 1659414365

Psychologist (Clinical) in Glendale, CA

NPI 1659414365 Individual Male Psychologist Clinical PECOS Enrolled

About PATRICK KELLY

Patrick Kelly is a provider established in Glendale, California and his medical specialization is psychologist (clinical) . The NPI number of Patrick Kelly is 1659414365 and was assigned on February 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PSY20750 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A clinical psychologist like Dr. Patrick Allen Kelly Psy.d assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Patrick Kelly is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Patrick Kelly is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1659414365

Provider NameDR. PATRICK ALLEN KELLY PSY.D
Provider Location Address1540 E COLORADO ST GLENDALE, CA 91205
Provider Mailing Address4760 SEPULVEDA BLVD CULVER CITY, CA 90230
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-14-2007
Last Update Date08-02-2011


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PSY20750
License StateCA
Taxonomy DescriptionA 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.

Business Address

DR. PATRICK ALLEN KELLY PSY.D
1540 E COLORADO ST
GLENDALE, CA
ZIP 91205
Phone: (818) 638-5467
Fax: (818) 243-5413

Get Directions


Mailing Address

DR. PATRICK ALLEN KELLY PSY.D
4760 SEPULVEDA BLVD
CULVER CITY, CA
ZIP 90230
Phone: (310) 751-5344
Fax: (310) 751-5422



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477693877DR. WILLIAM JEFFERSON SMITH II PSY.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1306986625DR. STEVEN HOCHSTADT PSY.D.
Individual
Psychologist (Clinical Child & Adolescent)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1346381993VERDUGO MENTAL HEALTH
Organization
Community/Behavioral Health1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1639219405 TRACY EVALANI PHAL PSY.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1164563003VERDUGO MENTAL HEALTH
Organization
Community/Behavioral Health1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1548302318MRS. TRACI HIGA M.A.
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1790827228MISS SARINEH IRANOSSIAN M.A.
Individual
Community/Behavioral Health1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1295878106MS. SARA ALISON FLETCHER MSSW
Individual
Rehabilitation Practitioner1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1962545715 SHERYL ANN CARLSEN LMFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1568505931 RICHARD CIASCA M.D.
Individual
Psychiatry & Neurology (Psychiatry)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1639212665MR. JOSEPH FRANCIS HERZBERG MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1508909557MRS. ANN M ESCUE M.S.
Individual
Counselor (Mental Health)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1477698470MS. LEDA SISKIND MFT
Individual
Counselor (Mental Health)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1982739124DR. GEORGE WILLIAM ECKART PH.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1376679670MS. SABRINA LEE M.S.
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1952437246MRS. VARDUI MARGARYAN RN
Individual
Registered Nurse1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1881720647MR. AARON LOEWY
Individual
Counselor1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-6836
1437285061MS. MARTHA COLE BASMADJIAN MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1063549269MR. ROBERT JAMES JOESEL MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1902934417MS. SETA S HAIG MS
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.