Kelly L Goodman-O'Leary, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0137717 Issued in VT

Practice address

146 S Williams St
Burlington, VT 05401

Phone

(802) 656-3340

NPI assigned

Oct 19, 2021

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Kelly L Goodman-O'Leary Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.oleary@elwyn.org

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

• Elwyn of Pennsylvania and Delaware

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1225546245
  NPD (past)
• Elwyn of Pennsylvania and Delaware

  dba Elwyn Mental Health Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1972643203
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1922761741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-656-3440",
            "fax_number": "802-656-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-656-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-O'LEARY",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0154533",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0137717",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN721550",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgoodma1@uvm.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "146 S Williams St",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GOODMAN-O'LEARY",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Iris Gomez, LSW
• Edwin Goncharuk, D.O.
• Jeffrey Raymond Gonzalez, PHARMD
• Jacqueline Shea Goodall, LICSW
• Bailee Goodell, BCBA
• Wesley L Goodman-O'Leary, MD, MPH
• Andrew Jackson Goodwin IV, MD
• Elizabeth T Goodwin, MSOT, OTR/L
• Kathleen Morwood Goodwin, PNP
• Zander Goodwin

• Psychiatric/Mental Health Nurse Practitioner in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

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