Virginia A. Kelty, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4185 Issued in MA

Practice address

8 Washington PL
Suite 104
Braintree, MA 02184-3259

Phone

(781) 848-1903

Fax

(781) 545-5189

NPI assigned

Jan 22, 2007

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

Enrolled in MA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Boston University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083768790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WASHINGTON PL",
            "address_2": "SUITE 104",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843259",
            "telephone_number": "781-848-1903",
            "fax_number": "781-545-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WASHINGTON PL",
            "address_2": "SUITE 104",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843259",
            "telephone_number": "781-848-1903",
            "fax_number": "781-545-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTY",
        "first_name": "VIRGINIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose M Keefe
• Christina Leigh Keith
• Kaitlin Kelly
• Sara F Kelly, M.D.
• John Philippe Kelty, PH.D.
• Kennedy Brothers Physical Therapy Inc.
• Richard P Kennedy, PTSCS
• Colleen Keohane
• Kevin C Ketchum, MS
• Mehnaz Khan, M.D.

• Clinical Psychologist in Braintree, MA
• Providers in Braintree, MA by specialty
• Clinical Psychologist in Massachusetts

• 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.

Verify at the official NPI Registry.