IndividualActive
Matthew Kelly, M.A. CCC-SLP
NPI 1114249646 · Speech-Language Pathologist · Santa Fe, NM
Provider details
- NPI number
- 1114249646
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- License
- C-4614 (NM)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1919 5th St
Santa Fe, NM 87505-5402
Phone: (505) 204-8919
Street-level locationGet directions
Mailing address
3 Prairie Crest Dr
Santa Fe, NM 87508-1314
Registry dates
- Enumerated
- 2010-02-25
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.