DR. KELLY WARREN PSYD
NPI 1891105193
Psychologist in Hermosa Beach, CA
About Dr. Kelly Warren Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY WARREN PSYD (NPI 1891105193) is an individual psychologist in Hermosa Beach, California, licensed in California (PSY27851) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Warren Psyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Warren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hermosa Beach, CA 90254
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
HERMOSA BEACH, CA 90254
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 Warren's NPI number?
The NPI number for Kelly Warren is 1891105193. It was assigned to this individual provider in the NPPES registry on May 7, 2014.
Where is Kelly Warren located?
Kelly Warren practices at 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254. The listed phone number is (310) 947-9279.
What is Kelly Warren's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelly Warren enrolled in Medicare?
Yes. Kelly Warren 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.
Which organization bills Medicare for Kelly Warren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Warren reassigns Medicare benefits to Beach Psychology (Hermosa Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Warren was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.