Active NPI
Kelly Marie McAllister, PSYD
- Clinical Psychologist
- Amherst, MA
National Provider Identifier
1700288073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10648
- Practice address
- 433 West St Ste 5
Amherst, MA 01002-2936 - Phone
- (413) 238-4055
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05716 | MD | |
| Clinical Psychologist | 103TC0700X | 10648 | MA | Primary |
Addresses
Primary practice location
433 West St Ste 5
Amherst, MA 01002-2936
Mailing address
433 West St Ste 5
Amherst, MA 01002-2936
Phone (413) 238-4055
Other practice location 1
95 Ashley Ave
Suite A
West Springfield, MA 01089-1348
Phone (413) 737-5167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05716 | MD | MD | Clinical Social Worker |
| 10648 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555113600000",
"number": "1700288073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 WEST ST STE 5",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022936",
"telephone_number": "413-238-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 WEST ST STE 5",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022936",
"telephone_number": "413-238-4055"
}
],
"practiceLocations": [
{
"address_1": "95 Ashley Ave",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "West Springfield",
"state": "MA",
"postal_code": "010891348",
"country_code": "US",
"telephone_number": "413-737-5167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCALLISTER",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2019-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05716",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.