Lili Kelly, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD-13434 Issued in HI

Practice address

320 Ohua Ave
Ste 802
Honolulu, HI 96815-3670

Phone

(808) 371-3701

Fax

(808) 356-0730

NPI assigned

Apr 23, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Psychiatric Clinic Inc

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1922357375
  NPD Authorized official
• Care Hawaii, Inc.

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1770603425
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1548488570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OHUA AVE",
            "address_2": "STE 802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153670",
            "telephone_number": "808-371-3701",
            "fax_number": "808-356-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OHUA AVE",
            "address_2": "STE 802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153670",
            "telephone_number": "808-371-3701",
            "fax_number": "808-356-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LILI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD-13434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina R. Kellner, M.D.
• Timothy Kellner, MD
• Kelly H Takasawa, PSYD LLC
• Kelly Hee Therapy LLC
• Ava Kelly, RBT
• Melanie KTH Kelly, M.D.
• Kelsey Fujinaka PSYD
• Lori Lynn Kelsey-Sakaguchi, M.D.
• Dolly W Kelsey, OTR L, CLT
• Anne Shimoda Kemble Luo, M.D.

• Child & Adolescent Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Child & Adolescent Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.