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DR. LINDA J. KELLY PH.D.
NPI 1841397536
Psychologist - Health Service in Ridgewood, NJ

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
10 WILSEY SQ, SUITE 274, RIDGEWOOD, NJ 07450(201) 859-2952(201) 251-3698 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Linda J. Kelly Ph.d. NPPES

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

DR. LINDA J. KELLY PH.D. (NPI 1841397536) is an individual health service provider in Ridgewood, New Jersey, licensed in New Jersey (3463) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1841397536
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. LINDA J. KELLYCredential: PH.D.
Location Address10 WILSEY SQ, SUITE 274Ridgewood, NJ 07450-3792
Mailing Address336 S Pleasant AveRidgewood, NJ 07450-5334 · (201) 251-1871 · Fax (201) 251-3698
Phone(201) 859-2952
Fax(201) 251-3698
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1841397536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in NJ · 3463
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
10 WILSEY SQ, Ridgewood, NJ 07450
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Other Identifiers 1

Medicare PINKE805395NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Linda J. Kelly Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951343664
PECOS Enrollment IDI20050524000143
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.

Other Providers at the Same Location NPPES 5

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

MARY J DEFRANCO DPM
Podiatrist
10 WILSEY SQ
RIDGEWOOD, NJ 07450
Bergen County (201) 445-5545
DR. JOHN A. CALISO PHD
Psychologist (Clinical)
10 WILSEY SQ, SUITE 232
RIDGEWOOD, NJ 07450
Bergen County (201) 447-4715
ROBERT SINCLAIR DDS
Dentist (General Practice)
10 WILSEY SQ
RIDGEWOOD, NJ 07450
Bergen County (201) 444-4343
MS. KERI LYN KENNEDY
Behavior Analyst
10 WILSEY SQ, SUITE 262
RIDGEWOOD, NJ 07450
Bergen County (201) 251-3800
MS. JUDITH ANN KOCH PH.D.
Psychologist
10 WILSEY SQ
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2004

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 Linda Kelly's NPI number?

The NPI number for Linda Kelly is 1841397536. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Linda Kelly located?

Linda Kelly practices at 10 Wilsey Sq Suite 274, Ridgewood, NJ 07450. The listed phone number is (201) 859-2952.

What is Linda Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Linda Kelly enrolled in Medicare?

Yes. Linda Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Linda Kelly was last updated on July 9, 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.