Kelly Mitchell, PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KELLY MITCHELL, PSYD LLC

Practice address

592A Washington St FL 2
Wellesley, MA 02482-6417

Phone

(508) 380-8757

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Mitchell, PSYDNPI 1407157316

Title

Clinical Psychologist

Phone

(508) 380-8757

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Kelly Leigh Mitchell, PSY.D.

  • Clinical Psychologist
  • Wellesley Hills, MA
  • NPI 1407157316
  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1093457905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592A WASHINGTON ST FL 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826417",
            "telephone_number": "508-380-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592A WASHINGTON ST FL 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826417",
            "telephone_number": "508-380-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY MITCHELL, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-380-8757",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5083808757",
            "affiliation": "N",
            "address_1": "592A Washington St Fl 2",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024826417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yardena Katz
• Emily Kaufman, PSYD
• Emily Keiser, NP
• Alyson Lee Kelley-Hedgepeth, MD
• Rebekah Kelley, RDO
• Jillian Burley Kelly, PSY.D
• Ann N Kennefick, N.P.
• Luann Keough, PH.D.
• Kerry Kerwar, DMD
• Maryam Ketabi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.