DR. KELSEY MARIE FITZGERALD PSYD
NPI 1679987846
Psychologist - Clinical in San Diego, CA

Q: What is Kelsey Fitzgerald's NPI number?

The NPI number for Kelsey Fitzgerald is 1679987846. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Q: What is Kelsey Fitzgerald's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Fitzgerald was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2014PECOS Enrolled

3517 CAMINO DEL RIO S STE 302, SAN DIEGO, CA 92108(619) 996-3195 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Kelsey Marie Fitzgerald Psyd NPPES

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

DR. KELSEY MARIE FITZGERALD PSYD (NPI 1679987846) is an individual clinical provider in San Diego, California, licensed in California (33958) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679987846

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELSEY MARIE FITZGERALDCredential: PSYD

Location Address3517 CAMINO DEL RIO S STE 302San Diego, CA 92108-4029

Mailing Address3517 Camino Del Rio S Ste 302San Diego, CA 92108-4029 · (619) 996-3195

Phone(619) 996-3195

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 16, 2014

Last NPPES UpdateJune 18, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1679987846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 33958

Definition

A 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.

3517 CAMINO DEL RIO S STE 302, San Diego, CA 92108

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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)

Dr. Kelsey Marie Fitzgerald Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012453897

PECOS Enrollment IDI20240729003372

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.