| Kevin Thomas Kelly, PHD | |
|
598 Cochrane Ave, Ukiah, CA 95482-5621 | |
| (707) 463-1447 | |
| (866) 204-9690 |
| Full Name | Kevin Thomas Kelly |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 598 Cochrane Ave, Ukiah, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508059080 | NPI | - | NPPES |
| A00PL92750 | Other | CA | BLUE SHIELD UIC # |
| 7809105 | Other | CA | BLUE CROSS PIN |
| PA0092759 | Other | CA | MEDI-CAL |
| #00PL92750 | Other | CA | BLUE SHIELD SUBMITTER |
| PSY00009275 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY9275 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Thomas Kelly, PHD 598 Cochrane Ave, Ukiah, CA 95482-5621 Ph: (707) 463-1447 | Kevin Thomas Kelly, PHD 598 Cochrane Ave, Ukiah, CA 95482-5621 Ph: (707) 463-1447 |
Martin Steve Lorber, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1009 W Clay St, Ukiah, CA 95482 Phone: 707-367-7930 | |
Laura Monica Mares, LCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr., Suite #101, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 | |
Ms. Judith C Albert, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 406 W Standley, Ukiah, CA 95482 Phone: 707-463-1110 | |
Dr. Nicole Therese Leveille, PHD, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 S Orchard Ave, Ukiah, CA 95482 Phone: 707-472-5000 | |
Jennifer E. Schooley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1264 Helen Ave, Ukiah, CA 95482 Phone: 831-234-9473 | |
Dr. Lynne Marie Fiore, PSY 22659 Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1380 Carrigan Ln, Ukiah, CA 95482 Phone: 707-467-9226 | |
Ms. Cheryl Rae Wantland, LCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 387 N Oak St, Ukiah, CA 95482 Phone: 707-468-4185 |