Kelly L Tonelli, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19248 Issued in CA

Practice address

10 Corporate Park Ste 215
Irvine, CA 92606-5199

Phone

(949) 444-6486

NPI assigned

Apr 12, 2007

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 names 1

• Kelly Helene Lyttle Former name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Kelly Tonelli Psychologist a Professional Corporation

  • Psychologist
  • Irvine, CA
  • NPI 1730481789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1407070386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065199",
            "telephone_number": "949-444-6486",
            "fax_number": "949-444-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065199",
            "telephone_number": "949-444-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONELLI",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LYTTLE",
            "middle_name": "HELENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Heather Tomilowitz, PH.D
• Ryan Tsuda Tomooka, N/A
• Elain Wen-Shang Tong, D.O.
• Vinh Tonthat
• Tony Yang, D.D.S.,M.D., Corp.
• Tina Toochinda, OT/L
• Blair Bittner Toohey, DDS

• Clinical Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.