Kelly Anne Nardella, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSO017843 Issued in PA

Practice address

2501 Oregon Pike
Lancaster, PA 17601-4890

Phone

(717) 735-1954

Fax

(717) 270-2472

NPI assigned

May 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philhaven

  dba WellSpan Philhaven

  • Psychiatry Physician
  • Lebanon, PA
  • NPI 1043316441
  Medicare reassignment Care Compare group
• Philhaven

  dba WellSpan Philhaven

  • Clinic/Center
  • Lebanon, PA
  • NPI 1275758393
  NPD
• Philhaven

  dba WellSpan Philhaven

  • Clinic/Center
  • Lebanon, PA
  • NPI 1508081639
  NPD (past)
• Wellspan Medical Group

  dba Wellspan Readycare

  • Family Medicine Physician
  • York, PA
  • NPI 1598862716
  NPD (past)

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1346627858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-735-1954",
            "fax_number": "717-270-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Old Forge Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170467951",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426726",
            "country_code": "US",
            "telephone_number": "717-874-9963",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014275",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Old Philadelphia Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176023415",
            "country_code": "US",
            "telephone_number": "717-676-7641",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Schneider Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170464875",
            "country_code": "US",
            "telephone_number": "717-270-2444",
            "fax_number": "717-270-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029000",
            "country_code": "US",
            "telephone_number": "717-845-2482",
            "fax_number": "717-843-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARDELLA",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PSO017843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS017843",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103369197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Nagle, DPT
• Jessica A Najaka, PA-C
• Ruhani Nanavati, MD
• Lokesh Gowda B Nanjunda Gowda, MD
• Devi Naraine, PA-C
• Robert Nash
• Janelle Marie Nassar, DMD
• Sarah Reynolds Nassau, MD
• National Access Corp
• National Access Corp Service Coordination

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.