DR. HEATHER LAKE KELLY PSYD
NPI 1801931548
Psychologist - Clinical in Scotts Valley, CA

Q: What is Heather Kelly's NPI number?

The NPI number for Heather Kelly is 1801931548. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Heather Kelly'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 Heather Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 20, 2007

800 BETHANY DR, SCOTTS VALLEY, CA 95066(831) 438-3800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Heather Lake Kelly Psyd NPPES

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

DR. HEATHER LAKE KELLY PSYD (NPI 1801931548) is an individual clinical provider in Scotts Valley, California, licensed in California (PSY 18917) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1801931548

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HEATHER LAKE KELLYCredential: PSYD

Location Address800 BETHANY DRScotts Valley, CA 95066-2820

Mailing Address270 Gaston CirScotts Valley, CA 95066-2823 · (831) 247-1490

Phone(831) 438-3800

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801931548 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 CA · PSY 18917

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.

800 BETHANY DR, Scotts Valley, CA 95066

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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 Heather Kelly's NPI number?

The NPI number for Heather Kelly is 1801931548. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Heather Kelly located?

Heather Kelly practices at 800 Bethany Dr, Scotts Valley, CA 95066. The listed phone number is (831) 438-3800.

What is Heather Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Heather Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.