Kelly Burkhouse, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS008930L Issued in PA

Practice address

500 Pine St Ste 3
Jamestown, NY 14701-5331

Phone

(716) 499-9245

NPI assigned

Sep 28, 2006

Last updated

Sep 11, 2025By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Service of the Chautauqua Region, Inc.Group PAC ID 8729032784, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service of the Chautauqua Region Inc

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1891820171
  Medicare reassignment Care Compare group NPD
• Family Services of Warren County, Inc.

  • Professional Counselor
  • Warren, PA
  • NPI 1295746451

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972694248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 WESTMAN RD",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129511",
            "telephone_number": "716-499-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINE ST STE 3",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015331",
            "telephone_number": "716-499-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOUSE",
        "first_name": "KELLY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008930L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281507",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buffalo Vamc
• Cherie Bunce
• Sharron Burak, RN
• Chutima S Burham, AANP
• Tyler Burkett
• Melissa Marie Burnett, RN
• Busti Fire Department, Inc.
• Linda Calannio, LPN
• Yvonne Calcaterra, LCSW
• Amy Jo Caldwell, FNP-C

• Psychologist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.