Kelly Karjoo PSYD Psychologist Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KELLY KARJOO PSYD PSYCHOLOGIST INC

Practice address

25108 Marguerite Pkwy # A89
Mission Viejo, CA 92692-2497

Phone

(949) 350-5747

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kelly V. Karjoo, PSYDNPI 1992827307

Title

Ceo

Phone

(949) 350-5747

Specialties & licenses 1

Addresses

Other names 2

• Kelly V Karjoo PsyD Former legal business name
• Kelly V. Karjoo, PsyD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly V. Karjoo, PSY.D

  • Clinical Psychologist
  • Mission Viejo, CA
  • NPI 1992827307
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1073262291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY # A89",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922497",
            "telephone_number": "949-350-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY # A89",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922497",
            "telephone_number": "949-350-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KARJOO PSYD PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "KARJOO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-350-5747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly V Karjoo PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kelly V Karjoo PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kelly V. Karjoo, PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Edward Keany Jr., M.D.
• Edward Joseph Kearns III, D.P.T.
• Susan Kearns, OTA/L
• Claire Keenan
• Keith a Farson
• Jami Kemp
• Daniel H Kempff, D.C.
• Ken Wilkens MD, Inc.
• Kathryn Eloise Kennedy, PA-C
• Tami Beth Kennedy, NP

• Adult Mental Health Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.