Lee Ann Kelley, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25986 Issued in AZ

Practice address

4602 N 16TH St Ste 100
Phoenix, AZ 85016-5160

Phone

(602) 795-1834

Fax

(602) 795-2608

NPI assigned

May 16, 2006

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 22, 2022 through Nov 22, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona TMS Therapy Center

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1063900835
  NPD Authorized official
• Lee Ann Kelley, M.D., P.C.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1386821593
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1003868647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165160",
            "telephone_number": "602-795-1834",
            "fax_number": "602-795-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165160",
            "telephone_number": "602-795-1834",
            "fax_number": "602-795-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LEE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Kelley, M.D.
• Jasmine D Kelley, MD
• Jonathan Kelley, DO
• Kelly Young Kelley, MSW
• Kimberly Kelley, PHARM.D.
• Lonna Beth Kelley, AGNP
• Patrick L Kelley, PAC
• Paul J Kelley, MD
• Suzanne Kelley, NP
• Joshua G Kellison, PHD

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.