DR. JENNIFER ELISABET KELLY PSY.D.
NPI 1730464157
Psychologist - Cognitive & Behavioral in Portland, OR

Active since October 17, 2011PECOS EnrolledAccepts Medicare Assignment
833 SW 11TH AVE, STE 245, PORTLAND, OR 97205(971) 248-5050 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Years of Experience 16
  • Psychologist
  • Cognitive & Behavioral
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER KELLY

This page provides the complete NPI Profile along with additional information for Jennifer Kelly, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in cognitive & behavioral and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1730464157 assigned on October 2011. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1730464157 Verify this NPI
Provider Name
DR. JENNIFER ELISABET KELLY PSY.D.
Gender
Female
Entity Type
Individual
Location Address
833 SW 11TH AVE STE 245 PORTLAND, OR 97205
Location Phone
(971) 248-5050
Mailing Address
833 SW 11TH AVE STE 245 PORTLAND, OR 97205
Mailing Phone
(971) 248-5050
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
10-17-2011
Last Update Date
05-23-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Medicare Participation & PECOS Enrollment Status

Jennifer Kelly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911135488

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140107000878

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. JENNIFER ELISABET KELLY PSY.D.

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Other Providers at the Same Location


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

Dentist (General Practice)
833 SW 11TH AVE, STE 500
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 1010
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 600
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, STE 616
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, SUITE 1018
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE
PORTLAND, OR 97205
Psychologist
833 SW 11TH AVE, SUITE 424
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, #810
PORTLAND, OR 97205
Social Worker (Clinical)
833 SW 11TH AVE, 913
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, STE 405
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, 500
PORTLAND, OR 97205
Counselor (Mental Health)
833 SW 11TH AVE, SUITE 320
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, SUITE 723
PORTLAND, OR 97205
Psychiatry & Neurology (Psychiatry)
833 SW 11TH AVE, STE 250
PORTLAND, OR 97205
Social Worker (Clinical)
833 SW 11TH AVE, SUITE 320
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, STE 700
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 700
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 600
PORTLAND, OR 97205
Clinical Neuropsychologist
833 SW 11TH AVE, SUITE 710
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, #300
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730464157, enumerated as an "individual" on October 17, 2011.

The provider is located at 833 SW 11TH AVE STE 245 PORTLAND, OR 97205 and the phone number is (971) 248-5050.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.