DR. CARRIE KELLEY PSYD
NPI 1780737528
Psychologist - Clinical in Salt Lake City, UT

Q: What is Carrie Kelley's NPI number?

The NPI number for Carrie Kelley is 1780737528. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Carrie Kelley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Kelley was last updated on November 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2007PECOS Enrolled

275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111(801) 999-0639(800) 136-4143 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Carrie Kelley Psyd NPPES

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

DR. CARRIE KELLEY PSYD (NPI 1780737528) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (70077562501) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780737528

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CARRIE KELLEYCredential: PSYD

Location Address275 E SOUTH TEMPLE, SUITE 101Salt Lake City, UT 84111-1247

Mailing Address275 E South Temple, Suite 101Salt Lake City, UT 84111-1247 · (801) 999-0639 · Fax (800) 136-4143

Phone(801) 999-0639

Fax(800) 136-4143

Sole ProprietorYes

Enumeration DateJanuary 18, 2007

Last NPPES UpdateNovember 13, 2009

✔ NPI 1780737528 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 UT · 70077562501

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.

275 E SOUTH TEMPLE, Salt Lake City, UT 84111

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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. Carrie Kelley Psyd 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 84111 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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