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DR. KELLY BEAKLEY LANE PSY.D.
NPI 1861745440
Psychologist - Clinical Child & Adolescent in Easton, MD

Active since October 19, 2012PECOS EnrolledAccepts Medicare Assignment
111 N WEST ST STE H, EASTON, MD 21601(410) 443-5527 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 28, 2021, Sep 20, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Kelly Beakley Lane Psy.d. NPPES

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

DR. KELLY BEAKLEY LANE PSY.D. (NPI 1861745440) is an individual clinical child & adolescent provider in Easton, Maryland, licensed in Maryland (05234) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1861745440
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KELLY BEAKLEY LANECredential: PSY.D.
Location Address111 N WEST ST STE HEaston, MD 21601-2760
Mailing Address111 N West St Ste HEaston, MD 21601-2760 · (410) 443-5527
Phone(410) 443-5527
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2011
Enumeration DateOctober 19, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1861745440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 05234
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 05234 (MD)
111 N WEST ST STE H, Easton, MD 21601
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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. Kelly Beakley Lane Psy.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 ID840504536
PECOS Enrollment IDI20150827002798
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 3

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

ANNE VIRGINIA MCCAULEY MSW, LCSW-C
Social Worker (Clinical)
111 N WEST ST STE H
EASTON, MD 21601
Talbot County (443) 906-3655
DR. ADELINE TRYON PH.D.
Psychologist
111 N WEST ST STE H
EASTON, MD 21601
Talbot County (410) 820-5667
JESSICA LYNN KLOTZ
Counselor (Professional)
111 N WEST ST STE H
EASTON, MD 21601
Talbot County (410) 449-0025

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 Lane's NPI number?

The NPI number for Kelly Lane is 1861745440. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Kelly Lane located?

Kelly Lane practices at 111 N West St Ste H, Easton, MD 21601. The listed phone number is (410) 443-5527.

What is Kelly Lane's specialty?

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

Is Kelly Lane enrolled in Medicare?

Yes. Kelly Lane 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 Kelly Lane was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.