Kelly Tonelli Psychologist a Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 19248 Issued in CA

Legal business name

KELLY TONELLI PSYCHOLOGIST A PROFESSIONAL CORPORATION

Practice address

10 Corporate Park Ste 215
Irvine, CA 92606-5199

Phone

(949) 444-6486

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Kelly TonelliNPI 1407070386

Title

President

Phone

(949) 262-3248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly L Tonelli, PSY.D.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1407070386
  Medicare reassignment NPD Authorized official
• Christopher Jan Mundale, PH.D.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1013927748
  NPD (past)
• Elaine F. Yee, PSY.D.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1235174368
  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1730481789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065199",
            "telephone_number": "949-444-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065199",
            "telephone_number": "949-444-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY TONELLI PSYCHOLOGIST A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2023-12-11",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "TONELLI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-262-3248"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Keller
• Luke Keller
• Alexis Kellogg
• Jason P Kellogg, M.D.
• Kelly Kristin Wong, MD, Inc
• Lauren Kelly
• Michael Kelly, PHARMD
• Trevor Kelly
• Kemeh Medical Corporation
• Graham Kemsley, M.D.

• Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.