Active NPI
Karen E. Kelly, PH.D.
- Psychologist
- Orangevale, CA
National Provider Identifier
1255599783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 9993
- Practice address
- 9267 Greenback LN
Suite B-98
Orangevale, CA 95662-4863 - Phone
- (916) 983-6898
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 9993 | CA | Primary |
Addresses
Primary practice location
9267 Greenback LN
Suite B-98
Orangevale, CA 95662-4863
Mailing address
9267 Greenback LN
Suite B-98
Orangevale, CA 95662-4863
Phone (916) 983-6898
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9993 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1255599783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9267 GREENBACK LN",
"address_2": "SUITE B-98",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624863",
"telephone_number": "916-983-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9267 GREENBACK LN",
"address_2": "SUITE B-98",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624863",
"telephone_number": "916-983-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KAREN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 9993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.