Thomas M.L. Kelly, Ed.D., PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22126 Issued in TX

Legal business name

THOMAS M.L. KELLY, ED.D., PA

Practice address

625 W College St
Suite 109
Grapevine, TX 76051-5283

Phone

(817) 481-6951

NPI assigned

Jun 21, 2006

Last updated

Aug 22, 2020By 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 M. L. Kelly, ED.D.

Title

President

Phone

(817) 481-6951

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Linda Diane Huffhines, EDD

  • Counselor
  • Grapevine, TX
  • NPI 1649264078
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720024532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST",
            "address_2": "SUITE 109",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515283",
            "telephone_number": "817-481-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST",
            "address_2": "SUITE 109",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515283",
            "telephone_number": "817-481-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M.L. KELLY, ED.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M. L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-481-6951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter J Theodorou, DMD, MS
• Therapy Needs LLC
• Thomas H Salmon, MD,PA.
• Erica Thomas
• James Abraham Thomas, PHARM.D.
• Lija L Thomas, M.D.
• Sini Thomas
• Tiffany Thomas

• Psychologist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.