Active NPI
Kelly Hale Court, PSYD
- Clinical Psychologist
- Camp Pendleton, CA
National Provider Identifier
1114223179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 747
- Practice address
- PO Box 555677
Camp Pendleton, CA 92055-5677 - Phone
- (609) 284-4863
- NPI assigned
- Feb 8, 2011
- Last updated
- Jan 22, 2025
- 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 | 747 | WY | Primary |
Addresses
Primary practice location
PO Box 555677
Camp Pendleton, CA 92055-5677
Mailing address
PSC 561 Box 2736
Fpo, AP 96310-0028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747 | WY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1114223179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 561 BOX 2736",
"city": "FPO",
"state": "AP",
"postal_code": "963100028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 555677",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555677",
"telephone_number": "609-284-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURT",
"first_name": "KELLY",
"middle_name": "HALE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.