DR. THANH SON THI NGUYEN-KELLY PH.D., LP, DABPS
NPI 1932321486
Psychologist in Roseville, MN

Active since May 03, 2007PECOS Enrolled
1315 WEST LARPENTEUR SUITE I, ROSEVILLE, MN 55113(651) 645-8080(651) 645-8181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thanh Son Thi Nguyen-kelly Ph.d., Lp, Dabps NPPES

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

DR. THANH SON THI NGUYEN-KELLY PH.D., LP, DABPS (NPI 1932321486) is an individual psychologist in Roseville, Minnesota, licensed in Minnesota (LP4596) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932321486
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. THANH SON THI NGUYEN-KELLYCredential: PH.D., LP, DABPS
Location Address1315 WEST LARPENTEUR SUITE IRoseville, MN 55113
Mailing Address2134 Belmont Lane EastNorth Saint Paul, MN 55109 · (651) 917-8888
Fax(651) 645-8181
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932321486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP4596
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1315 WEST LARPENTEUR SUITE I, Roseville, MN 55113

Other Names 1

Former Name (1)Dr. Thanh Son Thi Nguyen Ph.d., Lp, Dabps

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thanh Son Thi Nguyen-kelly Ph.d., Lp, Dabps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Thanh Son Nguyen-kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
1600 UNIVERSITY AVE W STE 12
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 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.

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 Thanh Son Nguyen-kelly's NPI number?

The NPI number for Thanh Son Nguyen-kelly is 1932321486. It was assigned to this individual provider in the NPPES registry on May 3, 2007. The provider is also known as Dr. Thanh Son Thi Nguyen Ph.D., LP, Dabps.

Where is Thanh Son Nguyen-kelly located?

Thanh Son Nguyen-kelly practices at 1315 West Larpenteur Suite I, Roseville, MN 55113. The listed phone number is (651) 645-8080.

What is Thanh Son Nguyen-kelly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Thanh Son Nguyen-kelly enrolled in Medicare?

Yes. Thanh Son Nguyen-kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thanh Son Nguyen-kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thanh Son Nguyen-kelly reassigns Medicare benefits to Natalis Counseling And Psychology Solutions, P.A. (Saint Paul, MN). 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 Thanh Son Nguyen-kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thanh Son Nguyen-kelly accept?

Health plans from HealthPartners list Thanh Son Nguyen-kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thanh Son Nguyen-kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.