Barbara E Kelly, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5762 Issued in FL

Practice address

100 E Ventris Ave
Maitland, FL 32751-5626

Phone

(407) 951-8812

Fax

(407) 951-8869

NPI assigned

Apr 17, 2006

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

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Affiliates Inc

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1699815753
  NPD (past)
• Psychological Affiliates, Inc.

  • Clinical Child & Adolescent Psychologist
  • Winter Park, FL
  • NPI 1649324005
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1851355689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VENTRIS AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515626",
            "telephone_number": "407-951-8812",
            "fax_number": "407-951-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VENTRIS AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515626",
            "telephone_number": "407-951-8812",
            "fax_number": "407-951-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BARBARA",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "5762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Nicole Kegley, M.S.
• Cassandra Keiber
• Margaret Ann Keig, M.S.
• David Keisari, M.D
• Kelly Higgins
• Brian D. Kelly, D.O.
• Fred A Kelly II, ARNP
• Rachael Victoria Kelly, PSR SPECIALIST, RBT
• Sherrell Kelly, M.S.
• Laurie Kemper, PSY D

• Psychologist in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.