William J Kelly, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS-002722-L Issued in PA

Practice address

343 S 3Rd St
Coopersburg, PA 18036-2111

Phone

(610) 282-2575

Fax

(610) 282-3076

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Keystone Counseling Services, PC

  • Psychologist
  • Montgomeryville, PA
  • NPI 1851458475
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013015908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180360182",
            "telephone_number": "610-428-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S 3RD ST",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362111",
            "telephone_number": "610-282-2575",
            "fax_number": "610-282-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-002722-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vieta Hymans, HOME HEALTH AID
• Noushin Jafari
• Jair-V ABA Services LLC
• Leah Marie John, D.C.
• Kathleen B Kelly, MSW, LSW
• Keystone Counseling Services, PC
• Kaitlin Ann Kline, OT
• Michael R Kotch
• Raymond Michael Kowalcyk, PH. D.
• Linda J Kreger, LSW

• Counseling Psychologist in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.