DR. KELLY HWA KOO PH.D.
NPI 1740521970
Psychologist - Clinical in San Bruno, CA

Active since March 13, 2013PECOS Enrolled
1001 SNEATH LN, SUITE 300, SAN BRUNO, CA 94066(650) 615-6075 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly Hwa Koo Ph.d. NPPES

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

DR. KELLY HWA KOO PH.D. (NPI 1740521970) is an individual clinical provider in San Bruno, California, licensed in California (PSY27845) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740521970
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY HWA KOOCredential: PH.D.
Location Address1001 SNEATH LN, SUITE 300San Bruno, CA 94066-2308
Mailing Address1001 Sneath Ln, Suite 300San Bruno, CA 94066-2308 · (650) 615-6075
Sole ProprietorNo
Enumeration DateMarch 13, 2013
Last NPPES UpdateJanuary 5, 2016
NPI 1740521970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY27845
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.

1001 SNEATH LN, San Bruno, CA 94066

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. Kelly Hwa Koo Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94066 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

Social Worker
1001 SNEATH LN, SUITE 300
SAN BRUNO, CA 94066
Internal Medicine (Sports Medicine)
1001 SNEATH LN, SUITE 104
SAN BRUNO, CA 94066
Dentist (General Practice)
1001 SNEATH LN, SUITE 211
SAN BRUNO, CA 94066
Psychologist (Clinical)
1001 SNEATH LN, SUITE 204
SAN BRUNO, CA 94066
Psychologist
1001 SNEATH LN
SAN BRUNO, CA 94066
Social Worker (Clinical)
1001 SNEATH LN
SAN BRUNO, CA 94066
Dentist (General Practice)
1001 SNEATH LN, SUITE 108
SAN BRUNO, CA 94066
Clinic/Center (Dental)
1001 SNEATH LN, STE. 108
SAN BRUNO, CA 94066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740521970, enumerated as an "individual" on March 13, 2013.

The provider is located at 1001 SNEATH LN SUITE 300 SAN BRUNO, CA 94066 and the phone number is (650) 615-6075.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.