IndividualActive
Tamar Kelson, PH.D.
NPI 1104981604 · Psychologist · Madison, WI
Provider details
- NPI number
- 1104981604
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1806-057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
702 N. Blackhawk Ave.
Suite 209
Madison, WI 53715
Phone: (608) 204-9116
Fax: (608) 441-3370
Street-level locationGet directions
Mailing address
702 N. Blackhawk Ave
Madison, WI 53715
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2009-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.