Alexandra Kelly, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS019449 Issued in PA

Practice address

1243 Easton Rd Ste 203
Warrington, PA 18976-3801

Phone

(215) 491-1119

Fax

(215) 491-9119

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Neuropsychology & Counseling, PC

  • Clinical Neuropsychologist
  • Chalfont, PA
  • NPI 1205119369
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1215689773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 UPPER GULPH RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EASTON RD STE 203",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763801",
            "telephone_number": "215-491-1119",
            "fax_number": "215-491-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Upper Gulph Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190872735",
            "country_code": "US",
            "telephone_number": "610-476-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007307",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K/S-MST, Inc.
• Evan Kaminsky, RD
• Kathleen Jansen Karn, M.S. CCC-A/SLP
• Brittany A Kastenhuber, M.S., CCC-SLP
• Theodore T Katz, M.D.
• Beth Ann Kelly, RD, LDN
• James J Kelly III, COTA/L
• Atiq Urrehman Khan, MD
• Muhammad Maaz Ali Khan, MD
• Ashley Kinard

• Psychologist in Warrington, PA
• Providers in Warrington, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.