Ann Marie Kelley, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

25629 Issued in TX

Practice address

1001 West Ave
Austin, TX 78701-2071

Phone

(512) 784-7244

Fax

(512) 542-9027

NPI assigned

Apr 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568584977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012071",
            "telephone_number": "512-784-7244",
            "fax_number": "512-542-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012071",
            "telephone_number": "512-784-7244",
            "fax_number": "512-542-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25629",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "25629",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "25629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0034MX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odyssey Keller
• Shane E Keller, MD
• Whitney Condra Keller, M.D.
• Zoe Amelia Keller, LCSW
• Angela Simmen Kelley, M.D.
• Audra Kelley
• Bridget Kelley
• Connor Patrick Kelley, PSY.D.
• Donald Kyle Kelley, M.D.
• Grace Kelley

• Forensic Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Forensic Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.