Kelly Ann Feeney-Kettler, PHD, NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6611 Issued in NJ

Practice address

31 Dehart St
Morristown, NJ 07960-8619

Phone

(615) 772-6830

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1831308956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAPLE AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201217",
            "telephone_number": "615-772-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 DEHART ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608619",
            "telephone_number": "615-772-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY-KETTLER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "6611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludgina Faustin, DNP
• Robert Fazzini
• Jacqueline Elizabeth Fearon-Clarke, NURSE PRACTITIONER
• Cheryl Federico, M.D.
• Feelings Forward Wellness, LLC
• Colleen Sheng Fei, MD
• Theodor Feigelman, MD
• Madeline Marchaterre Feinstein, DO
• Aliza Feldman, PSY.D.
• David C Feldman, M.D.

• Psychologist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.