KELLY BURKHOUSE PHD
NPI 1972694248
Psychologist in Jamestown, NY

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
500 PINE ST STE 3, JAMESTOWN, NY 14701(716) 499-9245 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Burkhouse Phd NPPES

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

KELLY BURKHOUSE PHD (NPI 1972694248) is an individual psychologist in Jamestown, New York, licensed in Pennsylvania (PS008930L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1972694248
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLY BURKHOUSECredential: PHD
Location Address500 PINE ST STE 3Jamestown, NY 14701-5331
Mailing Address3787 Westman RdBemus Point, NY 14712-9511 · (716) 499-9245
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1972694248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS008930L
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 011032 (NY)

Other Identifiers 1

Medicaid01281507NY

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

Kelly Burkhouse Phd 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.

PECOS PAC ID9931123726
PECOS Enrollment IDI20060119000494
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 Kelly Burkhouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
332 E 4TH ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 7 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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
500 PINE ST STE 3
JAMESTOWN, NY 14701

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 Burkhouse's NPI number?

The NPI number for Kelly Burkhouse is 1972694248. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Kelly Burkhouse located?

Kelly Burkhouse practices at 500 Pine St Ste 3, Jamestown, NY 14701. The listed phone number is (716) 499-9245.

What is Kelly Burkhouse's specialty?

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

Is Kelly Burkhouse enrolled in Medicare?

Yes. Kelly Burkhouse 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 Burkhouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Burkhouse reassigns Medicare benefits to Family Service Of The Chautauqua Region Inc (Jamestown, NY). 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 Burkhouse'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 Burkhouse was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.