KELSEY PIETRO PSY.D.
NPI 1902303191
Psychologist - Clinical in Carson, CA

Q: What is Kelsey Pietro's NPI number?

The NPI number for Kelsey Pietro is 1902303191. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Kelsey Pietro'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 Kelsey Pietro was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 12, 2018PECOS Enrolled

24436 ISLAND AVE, CARSON, CA 90745(310) 266-7072 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2023, Apr 12, 2018 (2 updates tracked since 2018).

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About Kelsey Pietro Psy.d. NPPES

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

KELSEY PIETRO PSY.D. (NPI 1902303191) is an individual clinical provider in Carson, California, licensed in California (30015) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902303191

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELSEY PIETROCredential: PSY.D.

Location Address24436 ISLAND AVECarson, CA 90745-6540

Mailing Address24436 Island AveCarson, CA 90745-6540

Phone(310) 266-7072

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 12, 2018

Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1902303191 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 · 30015

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.

24436 ISLAND AVE, Carson, CA 90745

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Pietro Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022372374

PECOS Enrollment IDI20180514001548

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Pietro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelsey Pietro Inc

Same address

Clinical

24436 ISLAND AVE
Carson, CA 90745

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1750097515 (310) 266-7072

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 3

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.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

14,035 services274 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

5,517 services256 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

219 services217 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

KELSEY PIETRO INC

Psychologist (Clinical)

24436 ISLAND AVE
CARSON, CA 90745

Los Angeles County (310) 266-7072

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 Kelsey Pietro's NPI number?

The NPI number for Kelsey Pietro is 1902303191. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Kelsey Pietro located?

Kelsey Pietro practices at 24436 Island Ave, Carson, CA 90745. The listed phone number is (310) 266-7072.

What is Kelsey Pietro's specialty?

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

Is Kelsey Pietro enrolled in Medicare?

Yes. Kelsey Pietro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Pietro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Pietro reassigns Medicare benefits to Kelsey Pietro Inc (Carson, 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 Kelsey Pietro'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 Kelsey Pietro was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.