DR. JILLIAN BURLEY KELLY PSY.D
NPI 1942510318
Psychologist - Clinical in Wellesley, MA

Q: What is Jillian Kelly's NPI number?

The NPI number for Jillian Kelly is 1942510318. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Q: What is Jillian Kelly's specialty?

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

Q: Is Jillian Kelly enrolled in Medicare?

No. Jillian Kelly has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jillian Kelly was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 19, 2010Opted out of Medicare · through Feb 20, 2028

25 WALNUT ST STE 300, WELLESLEY, MA 02481(176) 286-5642 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jillian Burley Kelly Psy.d NPPES

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

DR. JILLIAN BURLEY KELLY PSY.D (NPI 1942510318) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (10185) and active in the NPI registry since October 2010. She has opted out of Medicare through February 20, 2028.

NPPES Registry Identity

NPI1942510318

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILLIAN BURLEY KELLYCredential: PSY.D

Location Address25 WALNUT ST STE 300Wellesley, MA 02481-2145

Mailing Address25 Walnut St Ste 300Wellesley, MA 02481-2145 · (617) 286-5002

Phone(176) 286-5642

Sole ProprietorNo

Enumeration DateOctober 19, 2010

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1942510318 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 MA · 10185

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.

25 WALNUT ST STE 300, Wellesley, MA 02481

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jillian Burley Kelly Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024

Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

EKTA TANEJA M.D.

Psychiatry & Neurology (Psychiatry)