Kelly & Nguyen-Kelly Psychological and Consulting Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 5043 Issued in MN

Legal business name

KELLY & NGUYEN-KELLY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC

Doing business as

Maplewood Psychology

Practice address

2399 Ariel St N Ste D
Maplewood, MN 55109-2202

Phone

(651) 770-1311

Fax

(651) 770-1879

NPI assigned

Apr 23, 2009

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas E. Kelly, PSY.D.NPI 1972607562

Title

Partner

Phone

(651) 770-1311

Specialties & licenses 5

Addresses

Other names 1

• Maplewood Psychology Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas E. Kelly, PSY.D.

  • Clinical Psychologist
  • Saint Peter, MN
  • NPI 1972607562
  NPD Authorized official
• Bryan Jarred Cole, LMFT

  • Marriage & Family Therapist
  • Maplewood, MN
  • NPI 1053726117
  NPD (past)
• Thanh Son Thi Nguyen-Kelly, PH.D., LP, DABPS

  • Psychologist
  • Roseville, MN
  • NPI 1932321486
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1437393287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N STE D",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092202",
            "telephone_number": "651-770-1311",
            "fax_number": "651-770-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N STE D",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092202",
            "telephone_number": "651-770-1311",
            "fax_number": "651-770-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY & NGUYEN-KELLY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2022-06-10",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "651-770-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4596",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 5043",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP 5043",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP 5043",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP 4596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maplewood Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M Karnitz, CNS
• Tracy Lee Kaye, M.A.
• Christopher James Kedzie, DPM
• Margaret Kedzie, DPM
• Timber Lee Keller
• Alivia Catherine Kelly
• Amy Elizabeth Kelly, MD
• John F Kelly, MD
• Taylor Kenealy, PA-C
• Shaun Kennedy, M.D.

• Clinical Psychologist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.