Kelly M Tobin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024986-01 Issued in NY

Practice address

50 Charlton Rd
Ballston Spa, NY 12020-3509

Phone

(518) 265-0937

NPI assigned

May 30, 2013

Last updated

Nov 18, 2025By the provider in NPPES

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

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

• Tobin Psychological PLLC

  • Clinical Psychologist
  • Ballston Spa, NY
  • NPI 1124988456
  NPD Authorized official
• Ecs Psychological Services PC

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1265511224

  Mental Health

  NPD
• Ecs Wellness Psychology

  • Mental Health Counselor
  • Saratoga Springs, NY
  • NPI 1386285336
  NPD
• Koock E Jung MD PC

  • Psychiatry Physician
  • Queensbury, NY
  • NPI 1821275256
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1366889347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLTON RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203509",
            "telephone_number": "518-265-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHARLTON RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203509",
            "telephone_number": "518-265-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024986-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P Terbush
• Thomas C. Petrie, C.D.N.
• Edward Palmer Thompson, DNP, NP-P
• Camille Marie Tichenor, R.N.
• Tobin Psychological PLLC
• Torbelino Inc
• Stacey Tourtellot
• Kelsey E Tourville, PA-C
• Neil Geoffrey Trachtman, MD
• Colleen Margaret Van Vorst, M.S., CCC-SLP

• Clinical Psychologist in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.