KELLY MARIE ALLRED PHD
NPI 1689223893
Psychologist - Clinical in Seattle, WA

Q: What is Kelly Allred's NPI number?

The NPI number for Kelly Allred is 1689223893. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Kelly Allred's specialty?

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

Q: Is Kelly Allred enrolled in Medicare?

No. Kelly Allred has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Allred was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 10, 2019Opted out of Medicare · through Aug 17, 2027

1660 S COLUMBIAN WAY, SEATTLE, WA 98108(206) 764-2945 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Marie Allred Phd NPPES

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

KELLY MARIE ALLRED PHD (NPI 1689223893) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY60922922) and active in the NPI registry since September 2019. She has opted out of Medicare through August 17, 2027.

NPPES Registry Identity

NPI1689223893

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY MARIE ALLREDCredential: PHD

Location Address1660 S COLUMBIAN WAYSeattle, WA 98108-1532

Mailing Address600 W Olympic Pl Apt 711Seattle, WA 98119-3662 · (717) 919-8073

Phone(206) 764-2945

Sole ProprietorNo

Enumeration DateSeptember 10, 2019

✔ NPI 1689223893 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 WA · PY60922922

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.

1660 S COLUMBIAN WAY, Seattle, WA 98108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Marie Allred Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2023 through August 17, 2027.

Opt-Out Effective DateAugust 17, 2023

Opt-Out In Effect ThroughAugust 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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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.

DR. SARAH BASTAWROUS DO

Radiology (Diagnostic Radiology)

1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114
SEATTLE, WA 98108

King County (312) 450-5258

PATRICK PATTERSON LPN

Licensed Practical Nurse