Patrick Michael Kelly, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

125168 Issued in CA

Practice address

1230 Rosecrans Ave Ste 300
Manhattan Beach, CA 90266-2494

Phone

(424) 269-0086

Fax

(844) 868-3841

NPI assigned

Jan 30, 2007

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1235275512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE STE 300",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662494",
            "telephone_number": "424-269-0086",
            "fax_number": "844-868-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE STE 300",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662494",
            "telephone_number": "424-269-0086",
            "fax_number": "844-868-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Wilshire Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105536",
            "country_code": "US",
            "telephone_number": "424-269-0086",
            "fax_number": "844-868-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D66989",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "125168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith S. Feder MD, Inc.
• Diane Renee Kelley, PH.D.
• Lea Kelley, D.C., L.AC.
• Marie Rusher Kelley, M.D.
• Kelly Psychiatric Associates, Inc.
• Ella Kenney
• Lauren Kerscher, PA-C
• Peggy Mulder Kersulis, MFT
• Melanie Pattraphone Khamlong, MD
• Heba E Khorshid

• Child & Adolescent Psychiatry Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.