Kristy Kelley, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P117744 Issued in NY

Practice address

100 Linden Oaks Ste 200
Rochester, NY 14625-2831

Phone

(585) 586-1600

Fax

(585) 586-7951

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1164045324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252831",
            "telephone_number": "585-586-1600",
            "fax_number": "585-586-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252831",
            "telephone_number": "585-586-1600",
            "fax_number": "585-586-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P117744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kelley, MS, RN, AGCNS-BC
• Cheryl A. Kelley, D.M.D.
• Christen Noel Kelley, MHC
• Deirdre Mary Kelley, PMHNP
• John Kelley, PT, DPT
• Sheila Phelps Kelley, M.D., PH.D.
• Laura J Kellogg
• Melissa Marie Kellogg, PMHNP
• Meredith Rose Kells, NP
• Kelly M Farrow Family Health Nurse Practitioner PC

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.