DR. JENNIFER ELISABET KELLY PSY.D.
NPI 1730464157
Psychologist - Cognitive & Behavioral in Portland, OR
About Dr. Jennifer Elisabet Kelly Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER ELISABET KELLY PSY.D. (NPI 1730464157) is an individual cognitive & behavioral provider in Portland, Oregon and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jennifer Elisabet Kelly Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
PORTLAND, OR 97205
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 Jennifer Kelly's NPI number?
The NPI number for Jennifer Kelly is 1730464157. It was assigned to this individual provider in the NPPES registry on October 17, 2011.
Where is Jennifer Kelly located?
Jennifer Kelly practices at 833 SW 11th Ave Ste 245, Portland, OR 97205. The listed phone number is (971) 248-5050.
What is Jennifer Kelly's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Jennifer Kelly enrolled in Medicare?
Yes. Jennifer Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jennifer Kelly was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Jennifer Elisabet Kelly, PSY.D. · NPI 1730464157
Cognitive & Behavioral provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 17, 2011.
## Identity
- **NPI:** 1730464157 (Entity type: Individual)
- **Enumerated:** October 17, 2011
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Sole proprietor:** No
## Practice location
- **Address:** 833 SW 11TH AVE, STE 245, Portland, OR 97205-2132
- **Phone:** (971) 248-5050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 23, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1730464157) · Data from the CMS NPPES public registry.