Active NPI
Janice Marie Kelly, PH.D
- Psychologist
- Pittsburgh, PA
National Provider Identifier
1851410542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006967L
- Practice address
- 321 South Lang Ave
Pittsburgh, PA 15208 - Phone
- (412) 889-8571
- NPI assigned
- Mar 27, 2007
- Last updated
- May 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006967L | PA | Primary |
Addresses
Primary practice location
321 South Lang Ave
Pittsburgh, PA 15208
Mailing address
321 South Lang Ave
Pittsburgh, PA 15208
Phone (412) 889-8571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190424000468 | PA | Practitioner - Clinical Psychologist | 8527300581 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
321 S Lang Ave
Pittsburgh, PA 15208-2749
Phone (412) 371-7326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006967L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1851410542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 SOUTH LANG AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15208",
"telephone_number": "412-889-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 SOUTH LANG AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15208",
"telephone_number": "412-889-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2024-05-29",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006967L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.