Cynthia Holloway Kelvin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2012665 Issued in CA

Practice address

78365 Highway 111 # 138
La Quinta, CA 92253-2071

Phone

(442) 529-1866

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Cynthia Holloway Kelvin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1922387661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78365 HIGHWAY 111 # 138",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532071",
            "telephone_number": "442-529-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78365 HIGHWAY 111 # 138",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532071",
            "telephone_number": "442-529-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELVIN",
        "first_name": "CYNTHIA",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "2012665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KELVIN",
            "middle_name": "HOLLOWAY",
            "prefix": "MS.",
            "credential": "PSYD, RDT/BCT, CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Cypers Kamen
• Kayvan Kani, M.D.
• Armen Karimyan, DDS
• Anna Maria Kayaloglou, M.D.
• Sharon Kolb Keating
• Holli Rae Kenley, M.A.
• Veronica M Kennedy, PTA
• Sipan Keshishyan, RPH
• Kids Health First Pediatrics Inc.
• Matthew Ryan Kiminki, DPT

• Clinical Psychologist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.