Active NPI
Karen Durst Kiely, PH.D.
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1063474732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS004591L
- Practice address
- 5889 Forbes Ave
Suite 320, Forbes/Shady Commons
Pittsburgh, PA 15217-1660 - Phone
- (412) 421-7155
- Fax
- (412) 241-6769
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS004591L | PA | Primary |
Addresses
Primary practice location
5889 Forbes Ave
Suite 320, Forbes/Shady Commons
Pittsburgh, PA 15217-1660
Mailing address
329 Le Roi Rd
Pittsburgh, PA 15208-2717
Phone (412) 241-2184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058120 | Other | PA | PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120306000138 | PA | Practitioner - Clinical Psychologist | 8729247192 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5889 Forbes Ave
Suite 320
Pittsburgh, PA 15217-1660
Phone (412) 421-7155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063474732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 LE ROI RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152082717",
"telephone_number": "412-241-2184",
"fax_number": "412-241-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5889 FORBES AVE",
"address_2": "SUITE 320, FORBES/SHADY COMMONS",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171660",
"telephone_number": "412-421-7155",
"fax_number": "412-241-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELY",
"first_name": "KAREN",
"middle_name": "DURST",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS004591L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "058120",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.