ELLEN G KELMAN PHD PC
NPI 1790102630
Psychologist - Clinical in Scottsdale, AZ

Active since March 27, 2014
10165 N 92ND ST, 101, SCOTTSDALE, AZ 85258(480) 451-5558(602) 996-6600 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen G Kelman Phd Pc NPPES

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

ELLEN G KELMAN PHD PC (NPI 1790102630) is a healthcare organization registered as a clinical in Scottsdale, Arizona and active in the NPI registry since March 2014. The organization lists Ellen G Kelman, Owner, as its authorized official.

NPPES Registry Identity

NPI1790102630
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameELLEN G KELMAN PHD PC
Location Address10165 N 92ND ST, 101Scottsdale, AZ 85258-4558
Mailing Address10645 N Tatum Blvd, 200-258Phoenix, AZ 85028-3068 · (602) 451-5558 · Fax (602) 996-6600
Fax(602) 996-6600
Organization SubpartNo
Authorized OfficialEllen G KelmanOwner · (480) 451-5558
Enumeration DateMarch 27, 2014
✔ NPI 1790102630 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 AZ · 3063
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.
10165 N 92ND ST, Scottsdale, AZ 85258

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)

Ellen G Kelman Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ellen G Kelman Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1144244617
7373 E DOUBLETREE RANCH RD STE 200
Scottsdale, AZ 85258
(480) 451-5558
✔ PECOS✔ Accepts Medicare2.6 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 Ellen G Kelman Phd PC's NPI number?

The NPI number for Ellen G Kelman Phd PC is 1790102630. It was assigned to this organization in the NPPES registry on March 27, 2014.

Where is Ellen G Kelman Phd PC located?

Ellen G Kelman Phd PC is located at 10165 N 92nd St 101, Scottsdale, AZ 85258. The listed phone number is (480) 451-5558.

What is Ellen G Kelman Phd PC's specialty?

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

Is Ellen G Kelman Phd PC enrolled in Medicare?

Yes. Ellen G Kelman Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellen G Kelman Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Ellen G Kelman Phd PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ellen G Kelman Phd PC was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.