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DR. KELLY LEIGH EDYBURN PH.D.
NPI 1801560180
Psychologist - Clinical Child & Adolescent in Oakland, CA

Active since August 02, 2021
8711 MACARTHUR BLVD, OAKLAND, CA 94605(510) 428-3556 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Aug 15, 2021, Aug 2, 2021 (3 updates tracked since 2021).

About Dr. Kelly Leigh Edyburn Ph.d. NPPES

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

DR. KELLY LEIGH EDYBURN PH.D. (NPI 1801560180) is an individual clinical child & adolescent provider in Oakland, California, licensed in California (PSY33603) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1801560180
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KELLY LEIGH EDYBURNCredential: PH.D.
Location Address8711 MACARTHUR BLVDOakland, CA 94605-4000
Mailing Address8711 Macarthur BlvdOakland, CA 94605-4000 · (510) 428-3556
Phone(510) 428-3556
Sole ProprietorNo
Enumeration DateAugust 2, 2021
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1801560180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY33603
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

8711 MACARTHUR BLVD, Oakland, CA 94605
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

L. AARON SMITH
Social Worker
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 777-9909
YOUTH UPRISING
Community/Behavioral Health
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 777-9909
MS. SARA ALEXANDRA SCHNAITTER LCSW
Social Worker (Clinical)
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 428-3556
MS. TAMMY LYNETTE CLOUD
Clinic/Center (Adolescent and Children Mental Health)
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 428-3556
MS. GENESIS IBARRA LCSW
Social Worker (Clinical)
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (214) 403-5548
MR. MARVIN WEST
Counselor (Mental Health)
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 777-9909
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
Clinic/Center (Student Health)
8711 MACARTHUR BLVD
OAKLAND, CA 94605
Alameda County (510) 428-3885
MS. LA RAYE LYNETTE LYLES M.A.
Marriage & Family Therapist
8711 MACARTHUR BLVD, A
OAKLAND, CA 94605
Alameda County (510) 428-3885

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 Kelly Edyburn's NPI number?

The NPI number for Kelly Edyburn is 1801560180. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Kelly Edyburn located?

Kelly Edyburn practices at 8711 Macarthur Blvd, Oakland, CA 94605. The listed phone number is (510) 428-3556.

What is Kelly Edyburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Kelly Edyburn was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.