Kelly Ann Nabal, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017024 Issued in PA

Practice address

100 S Broad St
17TH Floor
Philadelphia, PA 19110-1023

Phone

(215) 701-1560

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joseph J. Peters Institute

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1023177144
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1356639603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19110",
            "telephone_number": "215-701-1560",
            "fax_number": "215-701-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST",
            "address_2": "17TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101023",
            "telephone_number": "215-701-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABAL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N-Psy-T Psychological Services
• N-Syte Development Corp (Forever Young Senior Care Center)
• N2G Medical Transportation LLC
• Sharon NA
• Amanda Naaraayan, MD
• Neel Ravi Nabar, MD, PHD
• Seyed Ali Nabavizadeh, MD
• Sarah Elizabeth Naber, PA-C
• Nabi Therapy
• Maria Florence Nabong, MD

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.