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

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: August 09, 2026.

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

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
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

Medicare Participation & PECOS CMS

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

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.

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.

Psychologist (Clinical)
24436 ISLAND AVE
CARSON, CA 90745

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.

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.