Kelly Lynn Rain, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004574 Issued in FL

Practice address

1507 Riverview Dr
Melbourne, FL 32901-4625

Phone

(321) 984-0708

Fax

(321) 984-9060

NPI assigned

Jan 8, 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649329079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014625",
            "telephone_number": "321-984-0708",
            "fax_number": "321-984-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014625",
            "telephone_number": "321-984-0708",
            "fax_number": "321-984-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Rader, MD
• James L Raders, MD
• Hunter Rafoth, MD
• Cortlund Ragan, CAA
• Rhu-Jade M Raguindin, M.D.
• Ashley Taylor Raineri
• Kristen Taylor Rains, NP
• Giles Dean Rainwater, PH.D.
• Dmitry Rakita, M.D.
• Richard Anthony Raley, MPS, CCT, CCP

• Clinical Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.