Rachel T Kelley, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

94028198 Issued in CA

Practice address

320 10TH St Ste 200
Santa Rosa, CA 95401-5291

Phone

(707) 579-0465

NPI assigned

Dec 11, 2008

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

Other identifiers 1

Other names 1

• Rachel Dietsche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Lomi School Foundation

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1437171543
  NPD (past)
• Redwood Psychology Center, Inc

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1629196290
  NPD (past)
• Redwood Psychology Center, Inc.

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1902243330
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1871738435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 207208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075478",
            "telephone_number": "707-978-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 10TH ST STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015291",
            "telephone_number": "707-579-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 Hwy. 116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "95462",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "fax_number": "707-865-5122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2227 Capricorn Way Ste 207208",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075478",
            "country_code": "US",
            "telephone_number": "707-978-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RACHEL",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "94028198",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871738435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DIETSCHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcea Lee Keller, DNP, RN
• Thomas McNeese Keller, M.D., M.P.H.
• Anjuli Dillon Kelley, MSOT
• Jessica Kelley
• Mary Frances Kelley, PT
• Debra J Kelly, MFT
• Jeanne M. Kelly, R.N.
• Katrin Kelly
• Sonya Maria Kelly, PHD
• Tina Marie Kelly, LMFT

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.