Kelly K Stankiewicz, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00468300 Issued in NJ

Practice address

390 Amwell Rd Ste 317
Hillsborough, NJ 08844-1246

Phone

(908) 307-1842

NPI assigned

Jun 30, 2009

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 names 1

• Kelly K Koukos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Center for Counseling & Personal Growth, LLC

  • Psychologist
  • Somerville, NJ
  • NPI 1750616983
  NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1891923645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 317",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441246",
            "telephone_number": "908-307-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 317",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441246",
            "telephone_number": "908-307-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKIEWICZ",
        "first_name": "KELLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016490",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00468300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KOUKOS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Marie Spille, PTA
• Spine & Orthopaedic Physical Therapy Center of New Jersey, PA
• Danielle M Spinella, LAC
• Sports Physical Therapy
• Veronica Spruill
• Kris C Stankiewicz, PSYD
• Linda F Stewart, LCSW
• Jennifer Lauren Stoops, THERAPIST
• Melinda W Strauss, RDH
• Siobhan Strickhart

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.