Kelly Kazmierski, PHD, a Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KELLY KAZMIERSKI, PHD, A PSYCHOLOGY CORPORATION

Practice address

4063 Birch St Ste 220
Newport Beach, CA 92660-2241

Phone

(949) 478-1337

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Kazmierski, PHD

Title

President

Phone

(949) 478-1337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1932895042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 BIRCH ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602241",
            "telephone_number": "949-478-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 BIRCH ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602241",
            "telephone_number": "949-478-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KAZMIERSKI, PHD, A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KAZMIERSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-478-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Kelley, MD
• Kelli a. Fox (Golden State Hospice)
• Kelli Junker DDS Inc
• Kelli Junker DDS Inc
• Sandra Kellum, M.D.
• Diane G Kelly, LCSW MSW
• Meghan Rose Kelly, FNP-C
• Samantha Bustos Kelly, AUD
• Ruth Kembay
• Adam Rock Kendall, M.D., M.P.H.

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.