KELLY JURAE BANKS BROWN PSYD
NPI 1851979975
Psychologist - Clinical in Marietta, GA

Q: What is Kelly Banks Brown's NPI number?

The NPI number for Kelly Banks Brown is 1851979975. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Kelly Banks Brown'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 Kelly Banks Brown was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 March 30, 2021

600 VILLAGE TRACE NE, BLDG 23, SUITE 100, MARIETTA, GA 30067(770) 971-3303 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Jurae Banks Brown Psyd NPPES

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

KELLY JURAE BANKS BROWN PSYD (NPI 1851979975) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (PSY004757) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1851979975

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY JURAE BANKS BROWNCredential: PSYD

Location Address600 VILLAGE TRACE NE, BLDG 23, SUITE 100Marietta, GA 30067

Mailing Address4611 River Hill CirEllenwood, GA 30294-1884 · (678) 920-1151

Phone(770) 971-3303

Sole ProprietorYes

Enumeration DateMarch 30, 2021

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1851979975 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 GA · PSY004757

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.

600 VILLAGE TRACE NE, Marietta, GA 30067

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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 Kelly Banks Brown's NPI number?

The NPI number for Kelly Banks Brown is 1851979975. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Kelly Banks Brown located?

Kelly Banks Brown practices at 600 Village Trace NE Bldg 23, Suite 100, Marietta, GA 30067. The listed phone number is (770) 971-3303.

What is Kelly Banks Brown'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 Kelly Banks Brown was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.