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KELSEY PIETRO INC
NPI 1750097515
Psychologist - Clinical in Carson, CA

Active since January 25, 2023
24436 ISLAND AVE, CARSON, CA 90745(310) 266-7072 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Kelsey Pietro Inc NPPES

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

KELSEY PIETRO INC (NPI 1750097515) is a healthcare organization registered as a clinical in Carson, California and active in the NPI registry since January 2023. The organization lists Kelsey Michelle Pietro, Owner, as its authorized official.

NPPES Registry Identity

NPI1750097515
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKELSEY PIETRO INC
Location Address24436 ISLAND AVECarson, CA 90745-6540
Mailing Address24436 Island AveCarson, CA 90745-6540 · (310) 266-7072
Phone(310) 266-7072
Organization SubpartNo
Authorized OfficialKelsey Michelle PietroOwner · (310) 266-7072
Enumeration DateJanuary 25, 2023
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1750097515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
24436 ISLAND AVE, Carson, CA 90745
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Other Names 1

Former Legal Business NameKelsey Pietro Inc

Other Identifiers 1

MedicaidCB296476CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Pietro Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelsey Pietro Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kelsey Pietro, PSY.D.
Clinical Psychologist
NPI 1902303191
24436 ISLAND AVE
Carson, CA 90745
(310) 266-7072
✔ PECOSSame address
Danielle Raushi
Marriage and Family Therapist
NPI 1780518167
2599 E 28TH ST STE 206
Signal Hill, CA 90755
(310) 266-7072
✔ PECOS6.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelsey Pietro Inc's NPI number?

The NPI number for Kelsey Pietro Inc is 1750097515. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Kelsey Pietro Inc located?

Kelsey Pietro Inc is located at 24436 Island Ave, Carson, CA 90745. The listed phone number is (310) 266-7072.

What is Kelsey Pietro Inc's specialty?

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

Is Kelsey Pietro Inc enrolled in Medicare?

Yes. Kelsey Pietro Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelsey Pietro Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kelsey Pietro Inc, in Clinical Psychologist and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Pietro Inc was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.