Kelly Lee Couacaud, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17248 Issued in CA

Practice address

3530 Sacramento St Ste 5
San Francisco, CA 94118-1897

Phone

(415) 948-8933

Fax

(415) 388-2888

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Affirming Health, Inc.

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
  • NPI 1336902840
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1033259759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 SACRAMENTO ST STE 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181897",
            "telephone_number": "415-948-8933",
            "fax_number": "415-388-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SACRAMENTO ST STE 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181897",
            "telephone_number": "415-948-8933",
            "fax_number": "415-388-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUACAUD",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17248",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Cotton, PAC
• Caitlin Cottrell, CRNA
• Kelsey Cottrell
• KJ Cottrell, MD
• Steven Cottrell
• Kira M Couch
• Andrew Richard Couchara, PA-C
• Alysha M Coughler, RD
• Michael J Coughlin, MD
• Ralph R Coughlin, MD

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.